摘要
甲状腺肿块非血管介入诊断主要有超声引导甲状腺结节细针抽吸细胞学检查(USgFNAC)和超声引导下粗针活检(USgCNB)技术,USgFNAC是用于选择和指导治疗各种甲状腺结节较为适用的方法,但仅凭少量细胞很难鉴别良、恶性疾病。USgCNB技术标本取样满意度较高,较容易作出组织学诊断,但有一定的禁忌证。非血管介入治疗主要有PEI和USgILP。PEI和USgIL对甲状腺良性孤立性结节性病变疗效好,与PEI相比,激光诱导的坏死范围可控制,不会损伤周围组织,避免了结节外组织纤维化、声带麻痹等不良反应。非血管介入治疗会引起一些不良反应。甲状腺肿块非血管介入诊疗具有简单、安全、有效、经济、并发症少等优势,因此应在临床中逐步推广。
Non-vascular interventional diagnostic methods of thyroid nodules include uhrasonographyguided fine-needle aspiration cytology（USgFNAC）and uhrasonography-guided core-needle biopsy （USgCNB）. USgFNAC is a practical method used to select and to guide the treatment of various thyroid nodules, however, it is difficult to make a differentiation between benign and malignant lesions simply to rely on the findings of a small number of ceils. USgCNB has the advantage of being able to obtain satisfactory specimen enough for making a histological diagnosis, although this procedure is contraindicated in some patients. Nonvascular interventional treatments of thyroid nodules include percutaneous ethanol injection （PEI） and ultrasonography-guided interstitial laser photocoagulation （USgILP）. Both PEI and USgILP have fine effect on the benign thyroid nodules. Compared with PEI, laser-induced necrosis can be well controlled, thus, the adverse reactions, such as the formation of fibrosis adjacent to the nodule, vocal cord paralysis, etc. can be avoided. Non-vascular interventional treatments may cause some untoward effects. For the diagnosis and treatment of thyroid nodules, the non-vascular interventional procedure is simple, safe, effective and economic with less complications, therefore, this technique is worth being popularized in clinical practice.
出处
《介入放射学杂志》
CSCD
北大核心
2009年第7期557-560,共4页
Journal of Interventional Radiology
关键词
甲状腺肿块
非血管介入诊疗
研究进展
thyroid nodule
non-vascular interventional diagnosis and treatment
research progress
