양성 갑상선 낭성 결절에서 에탄올 경화 요법의 결과

강기근; 이준형; 윤시원; 박헌수; 홍종철

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자료유형: 학술저널

저자정보: 강기근 (동아대학교) 이준형 (동아대학교 의과대학 영상의학과학교실) 윤시원 (동아대학교) 박헌수 (동아대학교) 홍종철 (동아대학교)

저널정보: 대한이비인후과학회 부산,울산,경남 지부회 임상이비인후과 임상이비인후과 제26권 제1호

발행연도: 2015.6

수록면: 53 - 57 (5page)

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Objectives：Ethanol injection under ultrasound guidance has been proposed as an alternative to surgery in the treatment of benign thyroid cysts. So we evaluated efficacy and safety of ultrasonography guided ethanol sclerotherapy for cystic thyroid nodules with analyzing results retrospectively. Methods：Between May 2010 and Jun 2012, 18 cystic thyroid nodule patients (19 cysts) were treated with ethanol ablation. We evaluated the treatment outcomes with the change of volume reduction and the improvement of symptomatic and cosmetic complains and complications. Results：Initial mean cystic nodule volume was 8.5 mL (range, 0.4-31 mL) and mean volume after ablation 1 week was 5.7 mL (range, 0.02-21 mL) in ultrasonography (p=0.154). Each of the mean volume at 1 month and 6 months after treatment was 2.9 mL (0-13 mL, p=0.002) and 0.8 mL (0-5.9 mL, p=0.000). The mean volume reduction rate was 90% (50-100%). Mean symptoms and cosmetic grading scores improved from 5 to 1.7 and from 3.5 to 1.5 (p=0.000). No significant complications were observed during the follow up. Conclusions：Percutaneous ethanol injection may prove a safe and effective tool for the therapy of the benign thyroid cysts.

#양성 #갑상선 결절 #에탄올 경화 요법 #Benign #Thyroid nodule #Ethanol #Sclerotherapy

참고문헌 (19)

참고문헌 신청

Hooft L / 2004 / Practice, efficacy, and costs of thyroid nodule evaluation: a retrospective study in a Dutch university hospital / Thyroid 14(4):287~293

Hegedüs L. / 2004 / Clinical practice. The thyroid nodule / N Engl J Med 351(17):1764~1771

이가희 / 2011 / 갑상선결절의 진단 및 치료 / 대한의사협회지 54(6):629~636

여창기 / 2014 / 갑상선 양성결절의 고주파 치료 / 대한이비인후과학회지 두경부외과학 57(3):151~154

Ha EJ / 2011 / Clinical significance of vagus nerve variation in radiofrequency ablation of thyroid nodules / Eur Radiol 21(10):2151~2157

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