양성 낭종성 갑상선 결절에 대한 에탄올 절제술의 효과
The Effect of Ethanol Ablation for the Treatment of Benign Cystic Thyroid Nodules

대한내과학회지 2013년 85권 6호 p.589 ~ p.591

정재훈(Chung Jae-Hoon) - 성균관대학교 의과대학 내과학교실

Abstract

Simple aspiration is the initial therapy in patients with the symptomatic benign thyroid cystic nodule, but treatment failure is very common. In patients with recurrent cystic thyroid nodules, ethanol ablation (EA), radiofrequency ablation, or laser ablation can be used to prevent reaccumulation of cystic fluid. EA is simple, cheap and needs no specialized equipment. Kim et al. reported the long-term efficacy and safety of ultrasound-guided percutaneous EA for cystic or predominantly cystic thyroid nodules. They also evaluated the clinical factors associated with treatment failure. Successful ablation was obtained in 31 of 40 (77.5%) patients, and initial large cystic volume was the factor associated with therapeutic failure. The side effect was negligible except transient local pain immediately after the procedure. Although this study had retrospective design and irregular follow-up, it is plausible that EA is a safe and effective therapy for treating cystic or predominantly cystic thyroid nodule.

키워드

Thyroid nodule, Cystic nodule, Ethanol ablation
원문 및 링크아웃 정보
등재저널 정보
학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
Successful ablation was obtained in 31 of 40 (77.5%) patients, and initial large cystic volume was the factor associated with therapeutic failure. The side effect was negligible except transient local pain immediately after the procedure.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
KCD코드
ICD 03
건강보험코드