超声引导下经皮穿刺无水乙醇硬化治疗甲状腺囊性病变  

Ultrasound-guided percutaneous anhydrous ethanol sclerotherapy in treatment of cystic lesions of thyroid

作　　者：靳忠民[1] 王萍[1] 唐智勇[1] 何平[1] 郝晓卓 

机构地区：[1]沈阳市第四人民医院超声科,辽宁沈阳110031

出　　处：《中国介入影像与治疗学》2013年第2期81-84,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨超声引导下经皮穿刺无水乙醇硬化治疗甲状腺囊性病变的临床价值。方法对108例甲状腺囊性病变患者共126个病灶,包括56个甲状腺单纯性囊肿(单纯性囊性病变)及70个甲状腺结节或腺瘤出血或液化所形成的继发性囊性病变(复杂性囊性病变),于彩色高频超声引导下徒手经皮穿刺进行囊液抽吸及囊内注射无水乙醇硬化治疗;术后超声随访1年,评价其疗效。结果总有效率97.62%(123/126),治愈率96.03%(121/126);术后3个月,单纯性囊性病变与复杂性囊性病变的有效率及治愈率差异均无统计学意义(P均>0.05)。未出现明显并发症。结论超声引导下经皮穿刺无水乙醇硬化治疗甲状腺囊性病变疗效确切,安全可靠,且操作简便,不良反应少,可作为治疗良性甲状腺囊性病变的首选方法。Objective To explore the value of ultrasound-guided percutaneous anhydrous ethanol sclerotherapy in treatment of cystic lesions of thyroid.Methods Totally 108 patients with 126 cystic lesions of thyroid,including 56 simple thyroid cysts and 70 secondary cystic lesions formed after hemorrhage or liquefaction of nodules and adenoma were enrolled.All patients underwent aspiration of cyst fluid and anhydrous ethanol sclerotherapy by high frequency color ultrasound-guided percutaneous puncture.The efficacy was observed during 1-year ultrasonic follow-up.Results The total effective rate was 97.62%（123/126）,and the cure rate was 96.03%（121/126）.There was no significant difference of between effective rate nor cure rate between simple and complicated cystic lesions 3 months after therapy.No obvious complication was observed after therapy.Conclusion Ultrasound-guided percutaneous anhydrous ethanol sclerotherapy has definite curative effect,good safety,simple operation and fewer adverse reactions,can be regarded as the preferred treatment for benign cystic lesions of thyroid.

关 键 词：甲状腺疾病 乙醇 硬化疗法 超声检查 

分 类 号：R581.9[医药卫生—内分泌] R445.1[医药卫生—内科学]