介入性超声在甲状腺疾病诊断和治疗中的应用  

Application of Interventional Ultrasound in Diagnosis and Treatment of Thyroid Diseases

作　　者：苗立英[1] 吕国荣[2] 张武[1] 贾建文[1] 冉维强[1] 

机构地区：[1]北京医科大学附属第三医院超声科,100083 [2]福建医科大学介入超声研究室,362000

出　　处：《中国超声医学杂志》2000年第12期910-912,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 :探讨介入性超声在甲状腺疾病诊断和治疗中的价值。方法 :(1)甲状腺病变 5 0 0例 ,对其中 392例采用超声引导自动活检技术 (18G) ,另 10 8例以手动细针 (9号 )抽吸 ,再将活检的病理结果进行对照研究 ;(2 )10 8例良性甲状腺结节性病变进行超声引导经皮无水酒精硬化治疗 ,评价其治疗效果。结果 :(1)超声引导自动活检能作出明确病理诊断达 92 .6 % ,明显优于手动抽吸活检的结果 (81.5 % ,P<0 .0 0 1) ;(2 ) 10 8例超声引导经皮无水酒精注射治疗良性甲状腺结节性病变 ,结节消失占 83.3% ,治疗效果与结节大小和物理性质有关 (P<0 .0 5 ,P<0 .0 1) ;(3)本组病例中无严重并发症发生。结论Objective:To investigate the value of interventional ultrasound in diagnosis and treatment of thyroid disease.Methods:(1)Three hundred and ninety two paitents with thyroid disease were biopsied with technology of ultrasound guided automatic biopsy (18G).The results of pathology were compared with those of 108 cases with manual fine needle aspiration biopsy(class 9).(2)One hundred and eight cases with benign thyroid nodules were treated with percutaneous ethanol injection(PEI)under the guidance of ultrasound,the effect of which were evaluated.Results:(1)92 6% of the diseases could be diagnosed correctly pathologically with ultrasound guided biopsy,whose effct was better than that of nanual needle biopsy(81 5%)( P <0 001).(2)83 3% of 108 cases with benign thyroid nodules disappeared after percutaneous ethanol injection therapy eutic under the guidance of ultrasound.The therapy autic effect related to the size ( P <0 05) and physical character of the nodules( P <0 01)(3)No serious complication occured in this group.Conclusions:Interventional ultrasound holds significant clinical value in the diagnosis and treatment of thyroid disease.

关 键 词：甲状腺疾病 诊断 治疗 介入性超声 

分 类 号：R581[医药卫生—内分泌] R445.1[医药卫生—内科学]