苗立英 吕国荣 张武 贾建文 冉维强 苗立英 张武 贾建文 冉维强(北京医科大学附属第三医院超声科100083)；吕国荣(福建医科大学介入超声研究室362000) 中国超声医学杂志 2000 0 16 12


    关键词：介入性超声；甲状腺疾病 期刊 zgcsyxzz 0 910-912 临床研究 fur -->


    

摘 要 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500例，对其中392例采用超声引导自动活检技术(18G)，另108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)108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<0.001)；(2)108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<0.05，P<0.01)；(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。

Applicationof Interventional Ultrasound in Diagnosis and Treatment of Thyroid Diseases

Miao Liying Lu Guorong Zhang Wu

    Dept.Ultrasound,3rd Affiliated Hospital,Beijing Medical University,Beijing 100083 China

ABSTRACT Objective:To investigate the value ofinterventional ultrasound in diagnosis and treatment of thyroid disease.Methods:(1)Threehundred and ninety two paitents with thyroid disease were biopsied with technology ofultrasound-guided automatic biopsy (18G).The results of pathology were compared with thoseof 108 cases with manual fine needle aspiration biopsy(class 9).(2)One hundred and eightcases with benign thyroid nodules were treated with percutaneous ethanolinjection(PEI)under the guidance of ultrasound,the effect of which were evaluated.Results：(1)92.6%of the diseases could be diagnosed correctly pathologically with ultrasound-guidedbiopsy,whose effct was better than that of nanual needle biopsy(81.5%)(P<0.001).(2)83.3%of 108 cases with benign thyroid nodules disappeared after percutaneous ethanol injectiontherapy eutic under the guidance of ultrasound.The therapy autic effect related to thesize (P<0.05) and physical character of the nodules(P<0.01)(3)No seriouscomplication occured in this group.Conclusions:Interventional ultrasound holds significantclinical value in the diagnosis and treatment of thyroid disease.

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