超声引导经皮穿刺微创治疗甲状腺囊肿的临床效果研究  

Clinical Effect of Ultrasound-guided Percutaneous Puncture in Minimally Invasive Treatment of Thyroid Cysts

作　　者：吕子平 陆忠玉 LV Ziping;LU Zhongyu(Jinchang People's Hospital,Jinchang,Gansu 737100)

机构地区：[1]金昌市人民医院功检三科,甘肃金昌737100

出　　处：《智慧健康》2024年第2期60-63,共4页Smart Healthcare

摘　　要：目的 本研究旨在评估超声引导下经皮穿刺微创治疗甲状腺囊肿的疗效。方法 选取2020年5月—2021年7月在本院确诊的70例甲状腺囊肿患者为本次研究对象,通过随机分组法将其分为实验组和对照组,每组35例。两组患者均采取超声引导下甲状腺囊肿手术治疗。对照组使用无水乙醇作为硬化剂,而实验组则采用聚桂醇联合无水乙醇。对比两组患者囊肿体积变化、治疗效果及不良反应的发生。结果 治疗前及治疗后1个月、3个月时,两组患者的囊肿体积差异无统计学意义(P>0.05)。治疗后,实验组治疗效果优于对照组,组间差异有统计学意义(P<0.05)。治疗后,实验组不良反应发生率低于对照组,组间差异有统计学意义(P<0.05)。结论 超声引导下经皮穿刺微创治疗甲状腺囊肿是一种有效的治疗方法。与单纯使用无水乙醇相比,聚桂醇联合无水乙醇作为硬化剂能显著防止不良反应的发生,治疗更加安全可靠。因此,该治疗方案值得在临床上进一步推广应用。Objective This study aims to evaluate the efficacy of ultrasound-guided percutaneous approach for minimally invasive treatment of thyroid cysts.Methods In this prospective study,70 patients with thyroid cysts diagnosed in our hospital from May 2020 to July 2021 were selected,and they were divided into experimental group and control group by randomization method,with 35 patients in each group.Both groups underwent ultrasound guided thyroid cyst.The control group used absolute ethanol as hardening agent,while the experimental group used polylaurl combined with absolute ethanol.The volume changes,treatment effects and adverse effects of the cyst were observed in both groups.Results There was no significant difference in cyst volume between the two groups before and at 1 and 3 months after treatment(P>0.05).After treatment,3 patients in the control group had no effect,4 effective,7significant,22 cured;in the experimental group 3 were ineffective,6 effective,8 significant,and 19 cured,the difference between the two groups was statistically significant(P<0.05).In terms of adverse reactions,only 12 patients were found in the control group,but only 4 patients were found in the experimental group,and the difference between the two groups was statistically significant.Conclusion Ultrasound-guided percutaneous approach is an effective treatment for thyroid cyst.Compared with the use of absolute ethanol alone,polycinnamon anol combined with absolute ethanol as hardening agent can significantly reduce the occurrence of adverse reactions,and the treatment is more safe and reliable.Therefore,this treatment scheme deserves further application in clinical practice.

关 键 词：超声引导 甲状腺囊肿 聚桂醇 无水乙醇 

分 类 号：R581[医药卫生—内分泌]