超声造影在甲状腺良性肿瘤激光消融中的应用  

Applications of ultrasound contrast on laser ablation of thyroid benign nodules

作　　者：滕登科[1] 邹苏娅[1] 刘彩梅[1] 王雨[1] 范兵兵 夏永旭[1] 

机构地区：[1]中国人民解放军第二0八医院超声介入科,吉林长春130062

出　　处：《中国地方病防治》2016年第8期856-857,924,共3页Chinese Journal of Control of Endemic Diseases

基　　金：全军医学科技青年培育项目(No.13QNP006);吉林省科技发展计划项目(No.20110468)

摘　　要：目的探讨超声造影在甲状腺良性肿瘤激光消融中的应用价值。方法 50例患者共79个甲状腺良性肿瘤,入组标准为肿瘤长径大于2cm小于4cm、体积1-15ml,且患者甲状腺功能正常。随机分为两组,A组为超声造影组,消融后采用超声造影评价肿瘤灭活情况,共30例患者49个结节;B组为常规超声组,消融后采用常规超声评价肿瘤是否完全灭活,共20例患者30个结节。结果术后随访6-12个月,A组术后无复发;B组复发4个,复发率13.3%,P<0.05。结论应用CEUS评价甲状腺良性肿瘤激光消融准确、简便,可有效减少肿瘤原位复发。Objective To investigate the value of contrast-enhanced ultrasound on laser ablation of thyroid benign nodules. Methods 50 patients with 79 thyroid benign nodules are selected to be analyzed and compared, any nodule of whom has a major diameter between 2 cm and 4 cm, volume between 1 ml and 15 ml, and the selected patients have normal thyroid functions. They were divided into two groups randomly, with Group A is contrast-enhanced ultrasound group contains 30 patients with 49 thyroid benign nodules, who were given ultrasound contrast to judge whether the nodules had been inactivated, and Group B is routine ul-trasound group contains 20 patients with 30 thyroid benign nodules, who were given routine uhrasound to judge whether the nod- ules had been inactivated. Results Postoperative following up in 6 - 12 months gives the result that none of Group A have re- lapse, while 4 in Group B relapse with a recurrence rate of 13.3%, P 〈0.05. Conclusion Using ultrasound contrast to judge the result of laser ablation of thyroid benign nodules is convenient and accurate, and could effectively reduce in situ recurrences of the nodules.

关 键 词：超声造影 甲状腺良性肿瘤 激光消融 

分 类 号：R736.1[医药卫生—肿瘤]