首页 > 肿瘤医学词汇大全 > Fine-Needle Aspiration Biopsy
Ultrasound-guided fine-needle aspiration biopsy of thyroid nodules in patients taking novel oral anticoagulants.
超声引导下对服用新型口服抗凝剂患者的甲状腺结节进行细针穿刺活检。

摘要

BACKGROUND:Ultrasound-guided fine-needle aspiration biopsy (USGFNAB) is the most accurate form of evaluation for thyroid nodules. Many patients with thyroid nodules who present for USGFNAB are on anticoagulant agents, including the novel oral anticoagulants (NOACs), for stroke prevention in atrial fibrillation or venous thrombosis prophylaxis.
SUMMARY:There has been at least one retrospective study describing neck USGFNAB bleeding risks in patients on antithrombotic and/or anticoagulant agents. This study concluded that there was no major bleeding risk or increase in hematoma formation in patients on antithrombotic or anticoagulant agents while undergoing USGFNAB, and there was no need to discontinue these agents prior to the procedure. With the emergence of NOACs, further recommendations should be made for patients on these agents who will be undergoing USGFNAB for thyroid nodules. Currently, there are no published studies regarding patients on NOACs who undergo USGFNAB.
CONCLUSIONS:It has previously been established that patients on historical anticoagulant agents do not need to discontinue therapy prior to minor procedures such as needle aspirations or dental procedures. Therefore, in patients currently taking dabigatran, rivaroxaban, or apixaban, it is concluded that it is reasonable and safe to continue the novel oral anticoagulant agents prior to USGFNAB of thyroid nodules without major risk of bleeding. This conclusion is based not only on the fact that minor procedures are considered safe in patients on NOACs, but also because patients on historical anticoagulant agents do not need to discontinue therapy prior to minor procedures.

译文

背景: 超声引导下细针穿刺活检 (USGFNAB) 是评估甲状腺结节最准确的形式。许多接受 USGFNAB 治疗的甲状腺结节患者正在使用抗凝剂,包括新型口服抗凝剂 (NOACs),用于心房颤动或静脉血栓预防中的中风预防。
总结: 至少有一项回顾性研究描述了抗栓和/或抗凝剂患者颈部 USGFNAB 出血风险。这项研究的结论是,在接受 USGFNAB 治疗时,服用抗血栓药物或抗凝剂的患者没有重大出血风险或血肿形成增加,并且没有必要在手术前停止这些药物。随着 NOACs 的出现,应该对将接受 USGFNAB 治疗甲状腺结节的这些药物的患者提出进一步的建议。目前,没有关于接受 USGFNAB 治疗的 NOACs 患者的公开研究。
结论: 以前已经确定,使用历史抗凝剂的患者不需要在小手术 (如针刺愿望或牙科手术) 之前停止治疗。因此,在目前服用达比加群、利伐沙班或阿哌沙班的患者中, 结论是,在甲状腺结节 USGFNAB 之前继续使用新型口服抗凝剂是合理和安全的,没有出血的主要风险。这一结论不仅基于这样一个事实,即在 NOACs 患者中,小程序被认为是安全的,而且因为使用历史抗凝剂的患者不需要在小程序之前停止治疗。

Fine-Needle Aspiration Biopsy

肿瘤 FNAB 诊断方式
概述  :  

细针吸取活检(FNAB),是用细针穿刺病灶吸出少量的细胞成分作涂片观察病灶部位肿瘤性或非肿瘤性组织细胞形态改变的诊断细胞学。目前已成为医学一个重要的诊断手段。近年来,在超声、X线电视及CT等医学影像诊断仪导向下进行穿刺吸取,可以准确地获得局部发病器官的标本,但与一般自然脱落细胞学不同,细针吸取只能作为一般诊断手段,不能作癌症的普查或早期癌症的筛查检测。细针穿刺和粗针穿刺最主要的区别是使用器械是不一样的。细针穿刺使用的是普通的注射器,针头的口径就是我们平常临床上用的注射器的针头,对组织的刺激比

Fine   /faɪn/

释    义   n. (Fine) (美)法恩

               adj. (fine) 优质的;(人)令人羡慕的;令人满意的;健康的;天气晴朗的

               adv. (fine) (非正式)令人满意地;在三柱门后面;(切得)细小地

               n. (fine) 罚金;优质法国白兰地酒;上等白兰地酒;(音乐指挥用语)终止

同根词   finable adj. 应罚款的;可提炼的;可精制的;fineable adj. 可罚款的(等于finable);

例    句   Fine… What about these? 好的……这些怎么样?

 

Needle   英 /ˈniːdl/   美 /ˈniːdl/

释    义   n. 针;指针;刺激;针状物

               vi. 缝纫;做针线

               vt. 刺激;用针缝

例    句   Do not needle cross from one area to another area far apart. 切勿将针线从一个区域穿到相隔很远的另一区域。

 

Aspiration   英 /ˌæspəˈreɪʃn/   美 /æspəˈreʃən/

释    义   n. 渴望;抱负;送气;吸气;吸引术

同根词   aspiring adj. 有抱负的;追求…的;高耸的

               aspirant adj. 上进的;有野心的

               aspirate adj. 送气音的

               aspirational adj. 有雄心壮志的;(生活形态等)梦寐以求的

例    句   Your aspiration is not your enemy but nor is it the easygoing friend you'd like it to be. 你的抱负不是你的敌人,但它也不是一个你所希望的脾气随和的朋友。

 

Biopsy   英 /ˈbaɪɒpsi/   美 /ˈbaɪɑːpsi/

释    义   n. 活组织检查;活组织切片检查;切片检查法

例    句   I think, in general, we biopsy less than before but I think that is also because we are making decisions around treatment. 我认为,总体上,我们做肝活检的次数比以前少了,但这也是因为我们是根据治疗情况做决定的。

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