超声引导下注射亚甲蓝定位老年甲状腺微结节的应用效果

发布时间：2018-08-26 11:04

【摘要】：正随着超声、CT等影像学技术的进步,直径1 cm的甲状腺微结节检出率越来越高〔1〕。对于有手术指征的微结节,手术中如何精确定位是切除病灶的关键。老年性甲状腺患者中再次手术比例相对较高〔2〕,初次手术操作可导致手术野内组织纤维化、粘连,影响病灶的探查,同时缺乏精确定位指导下的过度解剖可进一步增加神经损伤等并发症。本研究旨在探讨在老年患者甲状腺手术前采用超声引导下病灶内部注射亚甲蓝定位
[Abstract]:With the development of CT imaging techniques, the detection rate of thyroid micronodules with diameter of 1 cm is increasing (1). For micronodules with surgical indications, how to locate the lesions accurately is the key to remove the lesions. The rate of reoperation in elderly thyroid patients is relatively high (2). The initial operation can cause fibrosis, adhesion and lesion detection in the surgical field. At the same time, the lack of accurate location under the guidance of excessive anatomy can further increase nerve injury and other complications. The purpose of this study was to investigate the localization of intrafocal methylene blue injection under ultrasound guidance before thyroid surgery in elderly patients.
【作者单位】：上海交通大学医学院苏州九龙医院超声科;苏州大学附属第二医院普外科;
【分类号】：R445.1;R581

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