超声引导经皮乙醇注射治疗甲状腺囊性病变  

Need1e Aspiration and Percutaneous Ethanol lnjection under Us guidance in the Treatment of Thyroid Cystic Lesions

作　　者：王迎 吕永泉 

出　　处：《新疆医科大学学报》1999年第1期63-65,共3页Journal of Xinjiang Medical University

摘　　要：目的：评价超声引导经皮乙醇注射治疗甲状腺囊性病变的效果及安全性。方法：３０ 例良性甲状腺囊性病变含液区均占结节体积７０％ 以上。超声引导下针吸囊液至尽并以１／３ 吸出液量的无水乙醇缓慢注入囊腔。结果：经１ 年随访，３０ 例结节体积缩小均占术前体积的６０％ 以上。复发２ 例，经重复治疗有效。治疗与随访期间未发现１、１、 Ｔ Ｓ Ｈ 指标的显著变化及严重不良反应发生。结论：超声引导经皮乙醇注射治疗甲状腺囊性病变安全有效，经济实用。objective: To asscss the efficacy and safety by means of hormone studies and sonography. Methods: Treatment was performed in 30 solitary thyroid cystic lcsions which wcrc characterized by a fluid vo1ume greater than 70% of the total nodulc volumc. The cystic fluid was aspirated completely and then abso1ute ethanol was slow1y injected in one thrid amount of the volume of aspirated fluid under direct ultrasound monitoring. Results: Follow up during l2 months showed that nodule volumc rcduction was greater than 60%versus baseline in 30 (100%)patients. On1y 2 cases (6.6%)recurred and repeated operations still were effctive. No relevant adverse effects and significant biochemical changes were observcd. Conclusion: The rcsults of the preliminary study indicate that PEl is a safe, effectivc and low cost therapeutic procedure in patients with bcnign thyroid cystic nodulcs.

关 键 词：超声引导 经皮乙醇注射 甲状腺囊性病变 

分 类 号：R736.105[医药卫生—肿瘤]