超声引导下聚桂醇反复抽吸硬化治疗甲状腺囊肿的效果  

Effect of Ultrasound-Guided Repeated Aspiration and Sclerotherapy with Polidocanol in the Treatment of Thyroid Cysts

作　　者：姚晨阳 YAO Chenyang(Department of Ultrasound,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院超声科,河南南阳473000

出　　处：《河南医学研究》2024年第6期1057-1059,共3页Henan Medical Research

摘　　要：目的探讨超声引导下聚桂醇反复抽吸硬化治疗甲状腺囊肿的效果。方法采用前瞻性研究,纳入2021年6月至2022年6月南阳市中心医院收治的74例甲状腺囊肿患者,经随机分组法分为两组。对照组(37例)接受超声引导下无水乙醇反复抽吸硬化治疗,观察组(37例)接受超声引导下聚桂醇反复抽吸硬化治疗。比较两组临床疗效、不同时点囊肿体积、术后并发症及不良反应发生情况。结果观察组总有效率(94.59%)高于对照组(75.68%)(P<0.05)。观察组术后1、3、6个月时囊肿体积小于术前,且小于对照组(P<0.05)。观察组术后并发症发生率(10.81%)与对照组(16.22%)比较,差异无统计学意义(P>0.05)。观察组不良反应发生率(5.41%)低于对照组(21.62%)(P<0.05)。结论超声引导下聚桂醇反复抽吸硬化治疗治疗甲状腺囊肿效果较好,可以缩小囊肿体积,且安全性更高。Objective To explore the application effect of ultrasound-guided repeated aspiration and sclerotherapy with polidocanol on patients with thyroid cysts.Methods A prospective study was conducted,74 patients with thyroid cysts in Nanyang Central Hospital from June 2021 to June 2022 were selected.They were randomly divided in two groups.The control group(37 cases)received ultrasound guided repeated aspiration and sclerotherapy with anhydrous ethanol,while the observation group(37 cases)received ultrasound guided repeated aspiration and sclerotherapy with polidocanol.The clinical efficacy,cyst volume at different time points,postoperative complications,and adverse reactions were compared in both groups.Results Compared with the control group(75.68%),the total effective rate of the observation group(94.59%)was higher than that of the control group(P<0.05).The cyst volume in the observation group at 1,3 and 6 months after surgery was smaller than before surgery and smaller than that of the control group(P<0.05).There was no statistical differences in the incidence of postoperative complications between the observation group(10.81%)and the control group(16.22%)(P>0.05).Compared with control group(21.62%),the incidence of adverse reactions in the observation group(5.41%)was lower(P<0.05).Conclusion Repeated suction and sclerotherapy with polidocanol under ultrasound guidance is effective in the treatment of thyroid cysts,as it can reduce cyst volume,and have higher safety.

关 键 词：甲状腺囊肿 超声 聚桂醇 反复抽吸 硬化治疗 

分 类 号：R581[医药卫生—内分泌]