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目的 :探讨介入性超声在甲状腺疾病诊断和治疗中的价值。方法 :(1)甲状腺病变 5 0 0例 ,对其中 392例采用超声引导自动活检技术 (18G) ,另 10 8例以手动细针 (9号 )抽吸 ,再将活检的病理结果进行对照研究 ;(2 )10 8例良性甲状腺结节性病变进行超声引导经皮无水酒精硬化治疗 ,评价其治疗效果。结果 :(1)超声引导自动活检能作出明确病理诊断达 92 .6 % ,明显优于手动抽吸活检的结果 (81.5 % ,P<0 .0 0 1) ;(2 ) 10 8例超声引导经皮无水酒精注射治疗良性甲状腺结节性病变 ,结节消失占 83.3% ,治疗效果与结节大小和物理性质有关 (P<0 .0 5 ,P<0 .0 1) ;(3)本组病例中无严重并发症发生。结论 :介入性超声在甲状腺疾病的诊断和治疗中具有重要的临床应用价值
Objective: To investigate the value of interventional ultrasound in the diagnosis and treatment of thyroid disease. Methods: (1) Thyroid lesions were performed in 500 cases. Among them, 392 cases were treated with ultrasound guided biopsy technique (18G) and the other 10 8 cases were treated with manual fine needle (No.9). The pathological results of biopsy were compared with each other ; (2) 108 cases of benign thyroid nodular lesions were treated with ultrasound guided percutaneous ethanol sclerotherapy to evaluate the therapeutic effect. Results: (1) Ultrasonically guided biopsy can make a clear pathological diagnosis of up to 92.6%, which is significantly better than the results of manual suction biopsy (81.5%, P0.01); (2) 108 cases of ultrasound guided Percutaneous ethanol injection for the treatment of benign thyroid nodular lesions, nodules disappeared accounted for 83.3%, the treatment effect and nodule size and physical properties (P <0. 05, P <0.01); (3) No serious complications in this group of patients. Conclusion: Interventional ultrasound has important clinical value in the diagnosis and treatment of thyroid diseases