难治性甲状腺囊肿硬化治疗的技术改进及相关因素分析.pdfVIP

第一部分 窗式介入穿刺针的研制及其在难吸性囊性甲状腺结节硬化 治疗中的应用 摘要 摘要 目的：研制一种新型的窗式介入穿刺针，评估其在难吸性囊性甲状腺结节抽吸及 硬化治疗中的价值。 方法：采用PTC 穿刺针，在其针管的针尖末端开两个对称的长约 5.0mm，宽约 1.0mm 的矩形窗口，研制出新型的窗式介入穿刺针，并将窗式介入穿刺针与多孔 穿刺针和普通PTC 针抽吸纯耦合剂的效率进行比较。使用窗式介入穿刺针治疗 21 例难吸性甲状腺囊性结节，并与采用普通PTC 穿刺针治疗50 例可吸性囊性甲 状腺结节的最终疗效进行比较，评估其在难吸性囊性甲状腺结节抽吸及硬化治疗 中的价值。 结果：各种规格的新型窗式介入穿刺针在纯耦合剂中的抽吸效率明显优于相应同 规格的普通 PTC 针和多孔穿刺针，且其内径越粗，针干越短，其抽吸效率越高 （P0.05 ，或 P0.01 ，或P0.001 ）。新型窗式介入穿刺针在治疗难吸性甲状腺 囊性结节与普通 PTC 穿刺针治疗可吸性甲状腺囊性结节的疗效无明显差异（有 效率分别为94.2%和93.7%，P0.05 ）。 结论：新型的窗式介入穿刺针可作为难吸性甲状腺囊性性结节抽液和无水酒精硬 化治疗的最佳治疗用针。 【关键词】 甲状腺结节 超声 无水酒精硬化 窗式介入穿刺针 Part One The Development of Open-window Intervention Needles and Clinical Value in Ethanol Ablation of Cystic Thyroid Nodules that Can not to Be Aspired Abstract Objective To develope a new type of open-window interventional puncture needle and evaluate its value in drainage and sclerotherapy of cystic thyroid nodules that can not to be aspirated. Method Drill two rectangle window with length of 5.0 mm and width of 1.0 mm at the end of the PTC needle dry, and develope a new type of open-window interventional needle,then the efficiency of aspiration of open-window intervention needle compared with porous interventional needle and ordinary PTC needle by the test of aspiring pure coupling agent. Efficacy of sclerotherapy of 21 thyroid cystic nodules that can not to be aspirated by using open-window intervention needle, compared with in fifty thyroid cystic nodules cases can be aspired by ordinary PTC needle , then evaluate its value in drainage and sclerotherapy of cystic thyroid nodules that can not to be aspirated. Results The aspiring efficiency of pure coupling agent of various specifications of the new open-window