두경부 영역에서 시행하는 세침흡인검사의 효용성 연구

정주형; 구본민; 조혁기; 한순용; 여창기

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자료유형: 학술저널

저자정보: 정주형 구본민 조혁기 한순용 여창기

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제59권 제12호

발행연도: 2016.1

수록면: 843 - 847 (5page)

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연구주제

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연구배경

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연구방법

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연구결과

초록· 키워드

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Background and Objectives To investigate the effectiveness of fine needle aspiration (FNA) conducted by the otolaryngologists, we compared the ultrasound (US)-guided FNA results conducted by a radiologist (RD-US), the US-guided FNA results (ENT-US), and the palpation guided FNA results (ENT-palpation) conducted by an otolaryngologist. Subjects and Method 1646 patients who underwent FNA were classified according to the site and periods of investigation (2007-2015), and their sampling adequacy was retrospectively reviewed. They were also divided into three groups (ENT-US, ENT-palpation, and RD-US); each group was then investigated for sampling adequacy. Results of further surgical excisional biopsy were compared with the those of the FNA results to investigate the diagnostic accuracy of all three groups. Results The sampling adequacy identified by the groups showed the result of ENT-US at 87.9%, ENT-palpation at 87.1% and RD-US at 91.3%. The periodical inadequacy rate failed to show any significant differences between the groups. The sensitivity of ENT-palpation was lower than other two groups. Diagnostic accuracy identified by the groups showed the result of ENT-US at 95.2%, ENT-palpation at 93.6%, and RD-US at 97.4%. Conclusion FNA performed by otolaryngologists demonstrates the effectiveness of diagnosis and treatment, and that doing so would improve economic efficiency. Therefore, it is recommended that well-trained otolaryngologists conduct FNA actively. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(12):843-7

#Adequacy ㆍDiagnostic accuracy ㆍDiagnostic ultrasound ㆍ Fine-needle aspiration ㆍPalpations.

참고문헌 (15)

참고문헌 신청

Robitschek J / 2010 / Diagnostic efficacy of surgeon-performed ultrasound-guided fine needle aspiration : a randomized controlled trial / Otolaryngol Head Neck Surg 142(3):306~309

Cannon CR / 1996 / Quantitative evaluation of fine-needle aspiration / Otolaryngol Head Neck Surg 114(3):407~412

Kraft M / 2008 / Evaluation of clinician-operated sonography and fine-needle aspiration in the assessment of salivary gland tumours / Clin Otolaryngol 33(1):18~24

Bhatki AM / 2008 / Adequacy of surgeon-performed ultrasound-guided thyroid fine-needle aspiration biopsy / Otolaryngol Head Neck Surg 139(1):27~31

Milas M / 2005 / Ultrasonography for the endocrine surgeon: a valuable clinical tool that enhances diagnostic and therapeutic outcomes / Surgery 138(6):1193~1200

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