超声引导下甲状腺囊肿抽吸硬化治疗的应用价值  

Application value of Ultrasound guided aspiration and sclerotherapy of thyroid cyst

作　　者：黄家庆[1] 魏奕娜[1] 陈小曼[1] 吴筱聪 徐衡[3] 邱楚佳 林彬[1] 林昱[1] HUANG Jiaqing;WEI Yina;CHEN Xiaoman;WU Xiaocong;XU Heng;QIU Chujia;LIN Bin;LIN Yu(Department of Endocrinology,Jieyang People's Hospital,Jieyang 5220000,China;Ultrasound Department,Jieyang People's Hospital,Jieyang 522000,China;Department of Heart,Jieyang People's Hospital,Jieyang 522000,China)

机构地区：[1]广东省揭阳市人民医院内分泌科,广东揭阳522000 [2]广东省揭阳市人民医院超声科,广东揭阳522000 [3]广东省揭阳市人民医院心内一科,广东揭阳522000

出　　处：《中国医药科学》2018年第5期214-216,共3页China Medicine And Pharmacy

基　　金：广东省揭阳市科技计划项目(2016B01018)

摘　　要：目的评价超声引导下甲状腺囊肿抽吸囊液后,注入高糖冲洗硬化治疗的应用价值。方法对23例甲状腺囊肿患者,在超声引导下行囊肿穿刺抽液,并使用高糖反复冲洗囊腔,预留部分高糖起到硬化作用。结果 23例甲状腺囊肿抽吸液送病理检查,均明确为良性病变。经治疗后,甲状腺囊肿体积明显缩小,总有效率为91.3%,治疗前后差异有统计学意义(P<0.05)。术后1个月随访,治愈3例,占比13.0%;显效12例,占比52.2%;有效7例,占比30.4%;无效1例,占比4.3%。术后3个月随访,治愈4例,占比17.4%;显效14例,占比60.9%;有效4例,占比17.4%;无效1例,占比4.3%。术后6个月随访,治愈4例,占比17.4%;显效14例,占比60.9%;有效3例,占比13.0%;无效2例,占比8.7%。与随访之前比较差异有统计学意义(P<0.05)。结论超声引导下甲状腺囊肿抽液及高糖硬化治疗疗效显著,值得在临床推广应用。Objective To evaluate the value of ultrasound guided thyroid cyst aspiration and high glucose irrigation and sclerotherapy in the treatment of thyroid cyst.Methods Twenty-three cases of thyroid cysts were treated with ultrasound guided puncture and drainage of cysts,and high sugar was used to wash the cavity repeatedly,leaving some high sugar to play the role of hardening.Results All 23 cases of thyroid cyst were confirmed as benign lesions.After treatment,the volume of thyroid cyst was significantly reduced,the total effective rate was 91.3%,the difference before and after treatment was statistically significant(P<0.05).One month after operation,3 cases(13.0%)were cured,12 cases(52.2%)were significantly effective,7 cases(30.4%)were effective,and 1 case(4.3%)was ineffective.Three months after operation,4 cases were cured(17.4%),14 cases(60.9%)were markedly effective,4 cases(17.4%)were effective,1 case(4.3%)was ineffective.Six months after the operation,4 cases were cured(17.4%),14 cases(60.9%)were markedly effective,3 cases(13.0%)were effective,2 cases(8.7%)were ineffective,and there was significant difference compared with before follow-up(P<0.05).Conclusion Ultrasound-guided drainage of thyroid cyst and high-glucose sclerosis are effective and worth popularizing in clinic.

关 键 词：甲状腺囊肿 超声引导 硬化疗法 高糖注射 

分 类 号：R581.5[医药卫生—内分泌]