摘要

Here we describe a prospective 2-year evaluation of the efficiency of a new procedure of percutaneous ethanol injection (PEI) treatment of viscous thyroid cystic nodules (VTCN). Three patients with VCTN were selected from a group of 22 patients with solitary thyroid cystic nodules. A modified two-stage ethanol injection procedure was planned for these patients. Stage 1 was performed through the injection of a small dose of ethanol into the nodule. The viscosity of the content was reduced within 2 weeks after the injection. In the second stage the nodule was decompressed and an established dose of sterile 95% ethanol was injected. Patients were followed up for 2 years. In all cases a reduction in nodule volume was found. In the following 18 months further reduction was observed, with an average of 91.7%. The effect was stable throughout the follow-up period. No complications were observed. Therefore, our new two-stage PEI procedure appears all efficient alternative approach for the treatment of VCTNs even if further investigations on a larger series are required.

译文

在这里,我们描述了一种新的经皮乙醇注射 (PEI) 治疗粘性甲状腺囊性结节 (VTCN) 的效率的前瞻性 2 年评估。从 22 例单发甲状腺囊性结节患者中选择 3 例 VCTN 患者。为这些患者计划了改良的两阶段乙醇注射程序。第一阶段是通过向结节中注射小剂量乙醇进行的。注射后 2 周内,含量的粘度降低。在第二阶段,将结节减压,并注射一定剂量的无菌 95% 乙醇。患者随访 2 年。在所有情况下,都发现结节体积减少。在接下来的 18 个月里,观察到进一步的减少,平均为 91.7%。在整个随访期间效果稳定。未观察到并发症。因此,我们新的两阶段 PEI 程序似乎都是治疗 VCTNs 的有效替代方法,即使需要对更大系列的进一步研究。

percutaneous ethanol injection

肿瘤 肝癌 手术操作
概述  :  

肝癌是最常见的恶性肿瘤之一,其病死率位居恶性肿瘤的前几位,目前手术切除是治疗肝癌的主要方法,对于大多数肝癌患者当确诊时,限于肿瘤的位置、大小、多个病灶、肝功能及全身情况而无法耐受手术等原因,根治性切除已无法进行,经皮无水乙醇注射疗法(PEI)是目前无法手术切除肝癌的一种较为安全可靠的治疗方法。   经皮无水乙醇注射治疗,1983年杉浦等对实验性小鼠肝癌灶注射无水乙醇治疗获得成功,1983年Livraghi报道了临床应用无水乙醇治疗小肝癌后,

Percutaneous   英 /ˌpɜːkjuːˈteɪniəs/   美 /ˌpɜːrkjuːˈteɪniəs/  

释    义   adj. 经皮的;经由皮肤的

例    句   The main cause of infection in occupational settings is exposure to HIV-infected blood via a percutaneous injury (i.e. from needles, instruments, bites which break the skin, etc.). 在职业环境中受到感染的主要原因是,皮肤上伤口的血液(如由针,医疗器械,或叮咬而造成的皮肤破损)暴露于HIV病毒污染中。

 

Ethanol   英 /ˈeθənɒl/   美 /ˈeθənɔːl,ˈeθənoʊl/

释    义   n. [有化] 乙醇,[有化] 酒精

例    句   But the significance of the quarrel goes well beyond ethanol. 但是这场争吵的意义却远远超出乙醇的范围。

 

Injection   英 /ɪnˈdʒekʃn/   美 /ɪnˈdʒekʃn/

释    义   n. 注射;注射剂;充血;射入轨道

同根词   injectable adj. 可注射的

               injector n. 注射器;注射者;注水器

               injectable n. 血管注射剂

               inject vt. 注入;注射

例    句   In these experiments, which have yet to be published, he uses an antibiotic injection to knock out the hair cells devoted to balance. 他在这些尚在整理出版的试验中,使用了一种抗生素注射剂来破坏保持平衡的毛细胞。

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