超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节的疗效

范梅花; 毛平芬; 黄品同; 叶晓兰; 詹银楚

中国临床医学影像杂志 ›› 2015, Vol. 26 ›› Issue (4) : 247-250.

论著

超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节的疗效

范梅花1，毛平芬1，黄品同2，叶晓兰1，詹银楚3

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The clinical effect of ultrasound-guided fine-needle aspiration of benign thyroid cysts or partially cystic thyroid nodules

FAN Mei-hua1, MAO Ping-fen1, HUANG Pin-tong2, YE Xiao-lan1, ZHAN Yin-chu3

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摘要

目的：探讨超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节的临床效果。方法：98例患者根据超声引导下细针穿刺囊液性状及超声特征不同分组，根据治疗后囊肿大小改变及术后不良反应率比较评估疗效。结果：超声引导下细针穿刺对单纯性囊肿的总有效率（94.7%）明显高于复杂性囊肿（83.3%），且差异有统计学意义（P=0.001）。超声引导下细针穿刺对陈旧血性（90.0%）、黄色胶冻样（80.0%）、黄色黏稠样（87.5%）甲状腺囊肿的治疗效果优于淡黄/无色清亮组（50.0%），差异均有统计学意义（P=0.001、P=0.031、P=0.023）。比较抽吸囊液程度各组复发率发现，抽吸彻底组的复发率（7.0%）明显低于其他两组的复发率（66.7%、47.0%），且差异有统计学意义（P=0.001、P=0.001）。术后不良反应分析发现，单纯性囊肿组的不良反应发生率（10%）明显低于复杂性囊肿组（20%），且差异有统计学意义（P=0.001）。结论：超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节是较为安全可行的，尤其对单纯性甲状腺囊肿及囊肿内部物质接近胶冻样者；超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节术后并发症较轻，多可自行缓解；术中操作时应尽量抽吸彻底，可有效降低复发率。

Abstract

Objective: To observe clinical efficacy of ultrasound-guided fine-needle aspiration(US-FNA) of benign thyroid cysts or partially cystic thyroid nodules. Methods: Clinical data of 98 patients were divided into different groups according to cystic component and ultrasound features. The clinical efficacy was compared and valued according to the change of cyst size and the postoperative adverse reaction rate. Results: The total effective rate of simple cyst group(94.7%) after US-FNA was higher than that of the complexity cyst group(83.3%), and the difference was statistically significant(P=0.001). The clinical efficacy of the dark bloody(90.0%), yellow jell(80.0%) and yellow sticky group(87.5%) after US-FNA treatment was better than that of yellow/colorless group(50%), and the differences were statistically significant(P=0.001, P=0.001, P=0.023). In the comparison of the recurrence rate among groups according to the degree of aspiration, the recurrence rate of the complete group(7.0%) was obviously lower than that of the other two groups(66.7%, 47.0%), and the difference was statistically significant(P=0.001, P=0.001). In the comparison of the postoperative adverse reactions, the incidence of adverse reactions of simple cyst group(10%) was much lower than that of the complexity group(20%) and the difference was statistically significant(P=0.001). Conclusion: The US-FNA is a relatively safe and feasible treatment for thyroid cyst or partly cystic thyroid nodules, especially for the simple cyst and that with aspirates close to gelatin. The postoperative complications are milder, and most can relieve by itself. Aspiration should be done as thoroughly as possible to reduce the recurrence rate effectively.

导出引用

范梅花;毛平芬;黄品同;叶晓兰;詹银楚. 超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节的疗效[J]. 中国临床医学影像杂志. 2015, 26(4): 247-250

FAN Mei-hua;MAO Ping-fen;HUANG Pin-tong;YE Xiao-lan;ZHAN Yin-chu. The clinical effect of ultrasound-guided fine-needle aspiration of benign thyroid cysts or partially cystic thyroid nodules[J]. Journal of China Clinic Medical Imaging. 2015, 26(4): 247-250

中图分类号： Ｒ736.1 Ｒ445.1