无水乙醇治疗甲状腺囊性和囊性为主结节的预后影响因素分析  

Ethanol Ablation of Benign Thyroid Cysts and Predominantly Cystic Thyroid Nodules:Ananlysis of Prognostic Factors

作　　者：吴军[1] 姜凡[1] 蓝晓锋[1] Wu Jun;Jiang Fan;Lan Xiaofeng(Department of Ultrasound,the Second Affiliated Hospilal of Anhui Medical University.Hefei,Anhui,230601,China)

机构地区：[1]安徽医科大学第二附属医院超声科,合肥市230601

出　　处：《中国超声医学杂志》2021年第6期601-603,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨甲状腺囊性和囊性为主结节的穿刺抽液程度、抽液颜色是否为无水乙醇硬化治疗预后的影响因素。方法无水乙醇治疗甲状腺囊性和囊性为主结节的患者62例,共64个结节。根据抽液程度分为:极少量、少量、中等量、完全;抽液颜色分为:浅红色、暗红色、棕色、淡黄色和无色。分析抽液程度;抽液颜色、针头规格、囊液体积、抽液体积以及注射酒精体积是否为治疗预后的影响因素。结果抽液程度和抽液颜色与硬化治疗的成功率相关(χ^(2)=18.756,P=0.000;χ^(2)=10.725,P=0.030)。Logistic回归分析囊液体积、抽液体积以及注射酒精体积与硬化治疗的成功率无关(P=0.394、0.546、0.857)。针头的规格与抽液程度、硬化治疗的成功率无关(χ^(2)=0.286;P=0.963;χ^(2)=0.161,P=0.688)。结论甲状腺囊性和囊性为主结节的穿刺抽液颜色、抽液程度是无水乙醇硬化治疗预后影响因素,且完全抽液是最重要的因素。Objective To investigate the relationship between degree of aspiration or aspirate color on the success of ethanol ablation of cystic thyroid nodules. Methods Sixty-two patients with benign thyroid cysts and predominantly cystic thyroid nodules were treated with ethanol ablation, a total of 64 nodules. According to the degrees of aspiration, they were divided into: scant, mild, moderate and complete;the colors of aspiration were divided into: light red, dark red, brown, light yellow and colorless. Statistical analysis was performed on whether the degree of aspiration, color of aspiration, needle specifications, volume of capsular fluid, volume of aspiration, and volume of injected alcohol were related factors for treatment with ethanol ablation. Results The degree of aspiration and the color of aspiration were significantly correlated with the success rate of ethanol ablation(χ^(2)=18.756, P=0.000;χ^(2)=10.725, P=0.030). Logistic regression analysis showed that the volume of cystic fluid, the volume of aspiration and the volume of injected alcohol were not related to the success rate of ethanol ablation(P=0.394, P=0.546, P=0.857). The size of the needle had nothing to do with the degree of aspiration and the success rate of ethanol ablation(χ^(2)=0.286, P=0.963;χ^(2)=0.161, P=0.688). Conclusions Degree of aspiration and aspirate color are the influencing factors in the efficacy of ethanol ablation of benign thyroid cysts and predominantly cystic thyroid nodules, and complete aspiration is the most important factor. The color of aspiration is light yellow, and the degree of aspiration is mostly scant or moderate.

关 键 词：无水乙醇 抽液程度 抽液颜色 

分 类 号：R581[医药卫生—内分泌]