[1]易根发,赵卫,杨慧英,等.CT引导甲状腺穿刺活检术的应用[J].介入放射学杂志,2007,(08):541.
　YI Gen-fa,ZHAO Wei,YANG Hui-ying,et al.Application of CT-guided percutaneous thyroid biopsy in basic study of interventional therapy for Graves disease[J].journal interventional radiology,2007,(08):541.
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CT 引导甲状腺穿刺活检术的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2007年08期
页码:
541
栏目:
非血管介入
出版日期:
2007-08-15

文章信息/Info

Title:
Application of CT-guided percutaneous thyroid biopsy in basic study of interventional therapy for Graves disease
作者:
易根发; 赵卫; 杨慧英; 等
６５００３１昆明医学院第一附属医院影像中心介入室（易根发、赵卫、胡继红、靳仓正）；内分泌科（杨慧英）
Author(s):
YI Gen-fa; ZHAO Wei; YANG Hui-ying; HU Ji-hong; JIN Cang-zheng．
Medical Imaging Center，The First Affiliated Hospital，Kunming Medical College，Kunming６５００３１，China
关键词:
CT; 活检; 介入治疗; Graves病
分类号:
R５８１.１
文献标志码:
A
摘要:
目的探讨CT导向甲状腺穿刺活检在介入治疗甲状腺功能亢进（甲亢）基础研究中的应用。方法对１５例甲状腺动脉行PVA（直径１５０μm）微粒及平阳霉素栓塞治疗的Graves病（GD）患者于术前、术后共行５２次甲状腺穿刺活检，穿刺术前按甲状腺肿大程度进行分组：（１）甲状腺Ⅱ°以上肿大患者１９例次，行触摸法穿刺活检术。（２）甲状腺不肿大或Ⅱ°以下肿大患者３３例次，按时间先后依次进行触摸下和CT引导下穿刺活检，触摸下穿刺取材９例次后，因触摸穿刺成功率较低而改行CT引导下穿刺取材。结果①甲状腺Ⅱ°以上肿大患者１９例次行触摸法穿刺活检术１７例次成功，成功率８９．５％。②甲状腺不肿大或Ⅱ°以下肿大组中触摸法穿刺活检术成功５／９例次，CT引导穿刺活检术成功２２／２４例次（９１．７％）两者比较，差异有统计学意义（P＜０．０５）。③全部病例未出现穿刺并发症。结论CT导引甲状腺穿刺活检术，是介入治疗GD术后为基础研究提供标本的一种准确、安全、成功率高的穿刺方法。

参考文献/References:

［１］Suen KC，Quenville NF．Fine-needle aspiration biopsy of the thyroid gland：a study of３０４cases［J］．J Clin Pathol，１９８３，３６：１０３６．
［２］高法平，陈本超，刘云．甲状腺囊肿穿刺注药致喉返神经麻痹１例［J］．J Clin Otorhinolaryngol（China），１９９７，１１：７２．
［３］赵金良．甲状腺穿刺致喉返神经损伤一例［J］．临床误诊误治，２００３，１６：２９９．
［４］蒋岚，朱建华，徐勇，等．甲状腺粗针穿刺活检临床研究［J］．泸州医学院学报，２００５，２８：２３５-２３６．

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备注/Memo

备注/Memo:
收稿日期：２００６-１１-２７
基金项目：云南省自然科学基金重点项目（２００２C００１２Z）
更新日期/Last Update: 2007-08-15