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目的 评价超声引导介入治疗单发的非功能性甲状腺结节的疗效。方法 18例单发的非功能性甲状腺结节,实性3例,囊性变6例,囊内出血4例,纯囊性病变5例。在高频超声引导下穿刺抽出囊内液后注入无水酒精4-10 ml(抽出的液体量或实性结节体积的1/4)。结果 无效4例(22.2%),好转9例(50.0%),痊愈5例(27.8%),总有效率(77.8%)。主要并发症为声嘶(1例)。结论 甲状腺单发结节硬化治疗的效果取决于肿块的物理性质,而与结节大小无明显相关。
Objective To evaluate the efficacy of guided ultrasonography in the treatment of single non-functional thyroid nodules. Methods 18 cases of single non-functional thyroid nodules, solid in 3 cases, 6 cases of cystic degeneration, intracapsular hemorrhage in 4 cases, 5 cases of pure cystic lesions. Under the guidance of high-frequency ultrasound puncture the intracapsular fluid after injection of anhydrous alcohol 4-10 ml (amount of fluid withdrawn or solid nodules volume 1/4). The results were invalid in 4 cases (22.2%), improved in 9 cases (50.0%), cured in 5 cases (27.8%), the total effective rate (77.8%). The main complication was hoarseness (1 case). Conclusions The efficacy of thyroid solitary nodular sclerosis depends on the physical properties of the mass but not on the nodule size.