【摘要】 目的 评价超声引导介入治疗单发的非功能性甲状腺结节的疗效。方法 18例单发的非功能性甲状腺结节,实性3例,囊性变6例,囊内出血4例,纯囊性病变5例。在高频超声引导下穿刺抽出囊内液后注入无水酒精4-10 ml(抽出的液体量或实性结节体积的1/4)。结果 无效4例(22.2%),好转9例(50.0%),痊愈5例(27.8%),总有效率(77.8%)。主要并发症为声嘶(1例)。结论 甲状腺单发结节硬化治疗的效果取决于肿块的物理性质,而与结节大小无明显相关。更多还原

【Abstract】 Objective To evaluate the effect of sonographically guided percutaneous ethanol sclerotherapy for single thyroid nodules. Methods 18 patients with thyroid single tumor (3 solid, 10 complex cysts and five pure cysts )were treated with 99. 9% ethanol under ultrasound guidance, the injected volume of ethanol was 4 ml -10 ml(1/4 of the volume of fluid aspirated or the volume of the nodule). Results Among the 18 patients, 4 cases were of no effect; the volume of the tumor were decreased in 9; the cyst was obliterated in 5. The rate of effect was 77. 8% (14/18) . The major complication was temporary hoarseness. Conclusions The effect of percutaneous alcohol instillation in the therapy of non - function thyroid nodules depends on the physicochemical nature of the tumor,there was no significantly relativity between the efficacy and the size of the tumor .更多还原