Ultrasound-guided percutaneous catheterization and drainage combined with polidocanol sclerosis therapy in treatment of thyroid cysts
10.3760/cma.j.cn113855-20241009-00612
- VernacularTitle:超声引导下经皮穿刺置管持续负压引流联合聚多卡醇治疗甲状腺囊肿的疗效分析
- Author:
Anyang LIU
1
;
Yizhou BAI
1
;
Qi QIN
1
;
Xuewei WANG
1
;
Peiliang ZHAO
1
;
Jinyi TIAN
1
;
Dongfang HUO
1
;
Bin LUO
1
Author Information
1. 清华大学北京清华长庚医院普通外科，北京 102218
- Publication Type:Journal Article
- Keywords:
Cysts;
Sclerotherapy;
Drainage;
Punctures
- From:
Chinese Journal of General Surgery
2025;40(10):802-805
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the therapeutic effectiveness of ultrasound-guided percutaneous catheterization for continuous negative pressure drainage combined with polidocanol in treating large thyroid cysts.Method:Clinical data of 38 patients with large thyroid cysts who were treated consecutively with catheter drainage combined with polidocanol sclerotherapy by the same doctor at Beijing Tsinghua Changgung Hospital from Jan 2021 to May 2024 were retrospectively analyzed. The effectiveness and safety were statistically evaluated, and the relationship between drainage volume and cyst volume was analyzed.Results:Among the 38 patients with thyroid cysts who completed the treatment, the median follow-up was 9 months (range: 3-24 months). The effectiveness rate was 92% (35/38), of which 32 cases (84%) met the cure standard. The maximum diameter of the cysts before treatment was (4.8±1.0) cm, and the maximum diameter of the residual nodules after treatment was (1.5±1.1) cm, the difference was statistically significant ( t=17.389, P<0.01). The amount of drainage exudate is related to the volume of the cyst and the maximum diameter before treatment ( t=-3.149, P=0.003; t=-3.057, P<0.005). 19% of patients showed transient low fever after the injection of polidocanol, with no other complications. Conclusion:For large thyroid cysts, ultrasound-guided percutaneous catheterization for continuous negative pressure drainage combined with polidocanol sclerotherapy is a safe and effective method.
