Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

양성 갑상선 낭성 결절에서 에탄올 경화 요법의 결과

강기근1, 이준형2, 윤시원1, 박헌수1, 홍종철1,*
Gi Geun Kang1, Joon Hyung Lee2, Si-Won Yoon1, Heon Soo Park1, Jong Chul Hong1,*
1동아대학교 의과대학 이비인후-두경부외과학교실
2영상의학과학교실
1Department of Otolaryngology-Head and Neck Surgery, Busan, Korea
2Radiology, Dong-A University College of Medicine, Busan, Korea
*교신저자: 홍종철, 602-715 부산광역시 서구 대신공원로 26 동아대학교 의과대학 이비인후-두경부외과학교실 전화 :(051) 240-5423·전송:(051) 253-0712 E-mail:santa@dau.ac.kr

© Copyright 2015 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Nov 25, 2014; Revised: Jan 22, 2015; Accepted: Mar 16, 2015

Published Online: May 31, 2020

ABSTRACT

Objectives: Ethanol injection under ultrasound guidance has been proposed as an alternative to surgery in the treatment of benign thyroid cysts. So we evaluated efficacy and safety of ultrasonography guided ethanol sclerotherapy for cystic thyroid nodules with analyzing results retrospectively. Methods: Between May 2010 and Jun 2012, 18 cystic thyroid nodule patients (19 cysts) were treated with ethanol ablation. We evaluated the treatment outcomes with the change of volume reduction and the improvement of symptomatic and cosmetic complains and complications. Results: Initial mean cystic nodule volume was 8.5 mL (range, 0.4-31 mL) and mean volume after ablation 1 week was 5.7 mL (range, 0.02-21 mL) in ultrasonography (p=0.154). Each of the mean volume at 1 month and 6 months after treatment was 2.9 mL (0-13 mL, p=0.002) and 0.8 mL (0-5.9 mL, p=0.000). The mean volume reduction rate was 90% (50-100%). Mean symptoms and cosmetic grading scores improved from 5 to 1.7 and from 3.5 to 1.5 (p=0.000). No significant complications were observed during the follow up. Conclusions: Percutaneous ethanol injection may prove a safe and effective tool for the therapy of the benign thyroid cysts. (J Clinical Otolaryngol 2015;26:53-57)

Keywords: 양성; 갑상선 결절; 에탄올 경화 요법
Keywords: Benign; Thyroid nodule; Ethanol; Sclerotherapy