超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节的疗效

发布时间：2018-04-22 15:50

本文选题：甲状腺肿瘤 + 甲状腺结节　；参考：《中国临床医学影像杂志》2015年04期

【摘要】：目的:探讨超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节的临床效果。方法 :98例患者根据超声引导下细针穿刺囊液性状及超声特征不同分组,根据治疗后囊肿大小改变及术后不良反应率比较评估疗效。结果:超声引导下细针穿刺对单纯性囊肿的总有效率(94.7%)明显高于复杂性囊肿(83.3%),且差异有统计学意义(P=0.001)。超声引导下细针穿刺对陈旧血性(90.0%)、黄色胶冻样(80.0%)、黄色黏稠样(87.5%)甲状腺囊肿的治疗效果优于淡黄/无色清亮组(50.0%),差异均有统计学意义(P=0.001、P=0.031、P=0.023)。比较抽吸囊液程度各组复发率发现,抽吸彻底组的复发率(7.0%)明显低于其他两组的复发率(66.7%、47.0%),且差异有统计学意义(P=0.001、P=0.001)。术后不良反应分析发现,单纯性囊肿组的不良反应发生率(10%)明显低于复杂性囊肿组(20%),且差异有统计学意义(P=0.001)。结论:超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节是较为安全可行的,尤其对单纯性甲状腺囊肿及囊肿内部物质接近胶冻样者;超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节术后并发症较轻,多可自行缓解;术中操作时应尽量抽吸彻底,可有效降低复发率。
[Abstract]:Objective: to investigate the clinical effect of ultrasound guided fine needle puncture in the treatment of thyroid cyst or partial cystic thyroid nodule. Methods 98 patients were divided into different groups according to the characteristics of fine needle puncture cyst fluid and ultrasound under ultrasound guidance. The curative effect was evaluated according to the change of cyst size and the rate of adverse reaction after treatment. Results: the total effective rate of ultrasound guided fine needle puncture for simple cysts was significantly higher than that for complex cysts (P 0.001). The effect of ultrasound guided fine needle puncture on the treatment of thyroid cysts was better than that in the yellowish / colorless clear group (90. 0%, 80. 0%, 80. 05%, 87. 5%), and the difference was statistically significant (P < 0. 001%, P = 0. 031, P = 0. 023, P = 0. 023, P = 0. 023, P = 0. 023, P = 0. 023, P = 0. 01, P = 0. 001). Comparing the recrudescence rate of each group with the degree of aspiration sac fluid, it was found that the relapse rate of the sucking thoroughly group was significantly lower than that of the other two groups (66.7% and 47.0%), and the difference was statistically significant. The incidence of adverse reactions in simple cysts was significantly lower than that in complex cysts (P 0.001). Conclusion: it is safe and feasible to treat thyroid cysts or some cystic thyroid nodules with fine needle puncture guided by ultrasound, especially for those with simple thyroid cysts and cysts whose internal substance is close to gelatinized. Ultrasound-guided fine needle puncture in the treatment of thyroid cyst or partial cystic thyroid nodule has less complications, and should be inhaled thoroughly during operation so as to effectively reduce the recurrence rate.
【作者单位】：浙江省丽水市庆元县人民医院B超室;浙江大学附属第二医院超声科;衢州市人民医院;
【基金】：浙江省科技计划项目(2013C33224)
【分类号】：R581;R445.1

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