1988年9月至1995年5月,對67例甲狀腺囊性病變采用囊腫穿刺抽吸加囊內(nèi)注射純酒精治療(1~3次不等),并在術(shù)后定期行超聲檢查,隨訪時間為6個月~4年。囊腫消失或殘留 lt;1cm之纖維化團塊為治愈,囊腫縮小50%以上為有效。結(jié)果:甲狀腺腺瘤囊性變36例中27例(75.0%)治愈,有效5例,其總有效率為88.9%(32/36);結(jié)節(jié)性甲狀腺腫囊性變28例中治愈14例(50.0%)有效9例,總有效率為82.1%(23/28),甲狀腺舌骨囊腫3例,均治愈。治療過程中無嚴重并發(fā)癥發(fā)生,隨訪期間未發(fā)現(xiàn)有惡變者。本組治療結(jié)果提示:甲狀腺囊性病變的抽吸加囊內(nèi)酒精注射治療是一種方便、安全和經(jīng)濟的治療方法。
引用本文: 唐偉松. 甲狀腺囊性病變的抽吸硬化治療. 中國普外基礎(chǔ)與臨床雜志, 1996, 3(3): 146-148. doi: 復制
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12. | 曹金鐸, 朱明煒. 甲狀腺結(jié)節(jié)的處理.中國實用外科雜志,199515(2):107. |
- 1. Jedmond C,Morisol T. Treatment of thyroid cysts by aspiration and injection of sclerosant .Br Med J, 1987; (295) :529.
- 2. Jenn-Kuen Lee, Fang-Ting Tai, Hong-Da Lin, et al. Treatment of recurrent thyroid cysts by injection of tetracyeline or minocycline .Arch Intern Med, 1989; 149 :599.
- 3. Iwabuchi H, Ito K. Ultrasound guided percutaneous ethanol injection in the treatment of cystic thyroid nodules .Clin Endocrinol Oxf, 1994; 145 :27.
- 4. Alberti B,Campatelli A. Review of a case series of cervical cysts and evaluation of the efficacy of sclerotherapy with tetracycline hydrochloride in thyroid cystic lesions .Clin Ter, 1994; 145(7) :27.
- 5. Yasuda K,Ozaki O,Sugino K,et al. Treatment of cystic lesions of the thyroid by ethanol instillation .World J Surg, 1992; 16(5) :958.
- 6. 施秉銀,朱英英,馮學亮等.細針抽吸加硬化治療甲狀腺囊性疾病.中華醫(yī)學雜志,1993;73(9):563.
- 7. Verde G, Papini R, Pacella W, et al. Ultrasound guided percutaneous ethanol injection in the treatment of cystic thyroid nodulars .Clini Endocrinol Oxf, 1994;41(6) :719.
- 8. 吳階平主編,外科學.第5版.北京:人民衛(wèi)生出版社,1990:882.
- 9. Crile JG. Treatment of thyroid cysts .Surg, 1966;59 :210.
- 10. 夏振龍,王玉魁,徐鳳桐等. 甲狀腺腺瘤的處理及其與癌變關(guān)系 .實用外科雜志, 1985;5(3):141.
- 11. George El.Radiation therapy of head and neck cancer . Berlin Springer-Verlage,1989.
- 12. 曹金鐸, 朱明煒. 甲狀腺結(jié)節(jié)的處理.中國實用外科雜志,199515(2):107.