程令刚,何文,张红霞,张琳,康睿君,广旸.16G穿刺针用于囊腔冲洗及无水乙醇硬化治疗甲状腺胶质潴留囊肿[J].中国介入影像与治疗学,2021,18(2):65-68
16G穿刺针用于囊腔冲洗及无水乙醇硬化治疗甲状腺胶质潴留囊肿
16G puncture needle applicated in lumen flushing and anhydrous ethanol sclerotherapy for treating thyroid retained colloid cyst
投稿时间:2020-05-13  修订日期:2020-12-20
DOI:10.13929/j.issn.1672-8475.2021.02.001
中文关键词:  甲状腺肿瘤  穿刺抽液术  穿刺针  介入治疗
英文关键词:thyroid neoplasms  paracentesis  puncture needle  interventional therapy
基金项目:国家自然科学基金(81730050、81901744)、北京市属医院科研培育计划(PX2018021)。
作者单位E-mail
程令刚 首都医科大学附属北京天坛医院超声科, 北京 100160  
何文 首都医科大学附属北京天坛医院超声科, 北京 100160 hewen@bjtth.org 
张红霞 首都医科大学附属北京天坛医院超声科, 北京 100160  
张琳 首都医科大学附属北京天坛医院超声科, 北京 100160  
康睿君 首都医科大学附属北京天坛医院超声科, 北京 100160  
广旸 首都医科大学附属北京天坛医院超声科, 北京 100160  
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中文摘要:
      目的 观察16G穿刺针用于超声引导下囊腔冲洗及无水乙醇硬化治疗甲状腺胶质潴留囊肿的价值。方法 回顾性分析44例接受超声引导下经皮穿刺冲洗及无水乙醇硬化治疗的甲状腺潴留性胶质囊肿患者,根据穿刺针规格分为16G组(n=20)与18G组(n=24),比较组间患者一般资料及手术时间差异,记录术后当天及1、6个月囊肿缩小率。结果 18G组中3例应用18G穿刺针治疗失败,改用16G穿刺针后完成治疗,最终16G组与18G组治疗成功23例及21例;组间患者年龄、性别、术前囊肿最大径和体积(即单次硬化治疗无水乙醇用量)差异均无统计学意义(P均>0.05),而手术时间差异有统计学意义(P<0.05)。术后不同时间点16G组囊肿缩小率均高于18G组(P均<0.01)。16G组术后6个月囊肿体积缩小率较术后当日及1个月明显升高(P均<0.05),术后1个月囊肿体积缩小率与术后当日差异无统计学意义(P>0.05)。18G组不同时间点囊肿体积缩小率差异无统计学意义(P>0.05)。结论 采用16G穿刺针行超声引导下囊腔冲洗及无水乙醇硬化治疗甲状腺胶质潴留囊肿可缩短治疗时间,且有利于提高效果。
英文摘要:
      Objective To explore the value of 16G puncture needle in lumen flushing and anhydrous ethanol sclerotherapy for treatment of thyroid retained colloid cyst. Methods Data of 44 patients with thyroid retained colloid cyst who underwent ultrasound-guided puncture and rinsing of thyroid retained colloid cyst and anhydrous alcohol sclerotherapy were retrospectively analyzed. The patients were divided into 16G group (n=20) and 18G group (n=24) according to the puncture needle specification. The general information and operation time were compared between groups, and the cyst reduction rates immediately and 1, 6 months after operation were calculated and analyzed. Results The treatments failed in 3 patients with puncture needle in 18G group, and then succussed using 16G puncture needles. Finally, 23 and 21 patients were successfully treated in 16G group and 18G group. No statistical difference of patients' age, sex, preoperative maximum diameter and volume of cyst nor single dose of anhydrous ethanol was found (all P>0.05), while the operation time was statistical different between groups (P<0.05). The cyst reduction rates of 16G group were higher than that of 18G group all time points (all P<0.01). There were statistical differences of reduction rate of cyst volume among 6 months after operation and the other 2 time points (both P<0.05), except for immediately and 1 month after operation in 16G group (P>0.05). There was no significant difference of reduction rates of cyst volume among different time points in 18G group (P>0.05). Conclusion The application of 16G puncture was of benefit to improve the efficacy of ultrasound-guided lumen flushing and anhydrous alcohol sclerotherapy for treatment of thyroid retained colloid cyst and shorten the operation time.
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