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超声引导下经皮穿刺热消融治疗甲状腺结节伴囊内出血的临床价值

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目的 分析超声引导下经皮穿刺热消融治疗甲状腺结节伴囊内出血的临床价值.方法 选取2016年7月~2017年7月榆林市榆阳区中医医院收治的86例甲状腺结节伴囊内出血患者为研究对象,均进行超声引导下经皮穿刺热消融治疗,比较分析患者的术后并发症情况,查看消融术后体积缩小及坏死情况.结果 治疗后,超声检查结果显示,消融区范围覆盖患者原有结节,丧失供血.术后3个月体积缩小率大于50.0%例数为66例,治疗有效率为76.74%.消融术后6个月,体积缩小率大于50.0%例数为80例,治疗有效率为93.02%.随着时间的不同,治疗有效率有所变化,差异具有统计学意义(P<0.05).治疗过程中,未有患者发生严重并发症,均耐受,可自行恢复,2例出现穿刺点皮下活动性出血,观察0.5 h后无出血.术后6个月,完全吸收例数为20例,完全吸收率为23.26%.结论 超声引导下经皮穿刺热消融治疗甲状腺结节伴囊内出血的临床效果理想,并发症轻微,安全性高,可显著改善临床症状.
Clinical value of ultrasound guided percutaneous thermal ablation in the treatment of thyroid nodules associated with intra cystic hemorrhage
Objective To investigate the clinical value of ultrasound-guided percutaneous thermal ablation in the treatment of thyroid nodules associated with intra cystic hemorrhage. Methods 86 cases of thyroid nodules from July 2016 to July 2017 in our hospital with intracystic hemorrhage patients as the research object, were performed ultrasound guided percutaneous thermal ablation treatment, comparative analysis of the patients with complications after operation, reducing the volume of view after ablation and necrosis. Results After treatment, ultrasonography showed that the ablation area covered the original nodules and lost the blood supply.The volume reduction rate of 3 months was greater than 50%,and the number of nodules was 66.The effective rate was 76.74%.After ablation, the volume reduction rate of 6 months was greater than 50%,and the number of nodules was 80.The effective rate was 93.02%.As time goes on,the efficiency of treatment varies, with statistical significance(P<0.05).In the course of treatment,no severe complications occurred in the patients.They were all tolerated and recovered spontaneously.2 cases had subcutaneous bleeding at the puncture site,and no bleeding occurred after 0.5 h.After 6 months,the number of complete absorption cases was 20,and the complete absorption rate was 23.26%. Conclusion Ultrasound guided percutaneous thermal ablation for the treatment of thyroid nodules associated with intra cystic hemorrhage is an ideal clinical method with minor complications,high safety and significant improvement in clinical symptoms.

ultrasound guidedpercutaneous thermal ablationthyroid nodules associated with intra cystic hemorrhage

樊艳萍、王珍芳

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榆林市榆阳区中医医院 超声诊断科,陕西 榆林 719000

陕西省人民医院 超声诊断科,陕西 西安 716000

超声引导 经皮穿刺热消融 甲状腺结节伴囊内出血

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(11)
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