Tiroid kistlerine perkütan etanol enjeksiyonu

Yıl 2013, Cilt: 3 Sayı: 3, 142 - 145, 01.09.2013

Bilal Çetin Kazım Duman Uğur Karapınar Ömer Sağlam Engin Dursun

https://doi.org/10.2399/jmu.2013003007

Öz

Amaç: Benign kistik tiroid nodülü olan ve Doppler ultrasonografi eşliğinde perkütan etanol enjeksiyonu (PEİ) uygulaması ile tedavi edilen 28 hastamızın sonuçları sunuldu. Yöntem: Perkütan etanol enjeksiyonu uygulamasından önce tüm hastalarda ince iğne aspirasyon biyopsisi ile malignite dışlandı. Kist hacmi uzunluk χ yükseklik χ en χ π/6 formülü kullanılarak hesaplandı. Uygulamada başlangıç kist hacminin yarısı kadar %95'lik etil alkol kullanıldı. Hastalarımızın takiplerinde nodül çapı, fibroskleroz oluşumu ve nodül vaskülarizasyonu değerlendirildi. Başlangıç hacmine göre %50'den fazla küçülme başarı olarak kabul edildi. Bulgular: Bir PEİ uygulaması ile hastalarımızın %88.5'inde tedavi edildi. Başarısız olgularda ikinci uygulamayla tedavi oranı %92.9'a yükseldi. Sonuç: Tiroid kistlerinin tedavisinde ultrason eşliğinde PEİ uygulaması yüksek başarı oranlarıyla etkili, ucuz ve güvenilir bir tedavi yöntemidir.

Anahtar Kelimeler

Tiroid kisti, tiroid nodülü, perkütan etanol enjeksiyonu, Doppler ultrasonografi

Percutaneous ethanol injection into thyroid cysts

Öz

Objective: To present the results of 28 patients who were treated by Doppler ultrasound guided percutaneous ethanol injection (PEI) into benign cystic thyroid nodules. Methods: Before percutaneous injection of ethanol, malignancies were excluded with fine needle aspiration biopsy. Volume of the nodule was calculated according to length χ width χ depth χ π/6 formula. During the application, 95% ethanol solution was injected about half of the initial cystic volume. At follow-up nodule diameter, formation of fibrosclerosis and nodule vascularization were evaluated. More than 50% reduction in nodule volume relative to the initial volume was defined success. Results: The success rate with single application of PEI was found 88.5 percent. With administration of the second application of PEI on unsuccessful cases success rate increased to 92.9 percent. Conclusion: Doppler ultrasound-guided PEI injection is a reliable, effective and inexpensive method in the treatment of thyroid cysts with high success rates.

Anahtar Kelimeler

Thyroid cyst, thyroid nodule, percutaneous ethanol injection cyst, Doppler ultrasonography

Kaynakça

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• Please cite this article as: Çetin B, Duman K, Karapınar U, Sa¤lam Ö, Dursun E. Percutaneous ethanol injection into thyroid cysts. J Med Updates 2013;3(3):142-145.