ABSTRACT
Objective:To observe the therapeutic effect of microwave ablation combined with anhydrous ethanol for cystic thyroid nodules.Methods:From Jan. 2019 to Dec. 2019, 56 patients with thyroid cystic nodules (≥2cm) underwent ultrasound guided thyroid cystic nodule ablation in Department of Thyroid and Breast Surgery, Nanjing Hospital of Traditional Chinese Medicine. According to different ablation methods, the patients were divided into microwave ablation combined with anhydrous ethanol group and microwave ablation group. There were 36 cases in microwave ablation combined with anhydrous ethanol group and 20 cases in microwave ablation group. The volume reduction rate of thyroid nodules, the incidence of postoperative complications and the changes of thyroid function were compared between the two groups after treatment. Statistical analysis were performed using SPSS, version 21.0, the mean±SD deviation ( ± s) was used to describe the statistics, t-test was performed, and the adoption rate of counting data (%) was expressed by χ 2 test. The difference was statistically significant with P<0.05. Results:The nodule volume reduction rates of the microwave ablation combined with anhydrous ethanol group and microwave ablation group were (49.86±6.78) % vs (22.84±1.88) %, (67.57±5.84) % vs (47.25±7.09) % and (75.70±4.51) % vs (71.14±4.65) % at 3 months, 6 months and 12 months after operation, respectively. There was significant difference between the two groups ( P<0.001) . The incidence of postoperative complications in the two groups was 38.89% and 45.00% respectively, and there was no significant difference between the two groups ( P>0.05) , and all complications were cured within 2 months. There was no significant difference in thyroid function (T3, T4, FT3, FT4, TSH) between the two groups before and 12 months after operation ( P>0.05) . Conclusions:Microwave ablation combined with anhydrous ethanol is more effective in treatment of cystic thyroid nodules (≥2cm) than microwave ablation alone. It can significantly improve patients’symptoms and nodule volume reduction, and does not affect thyroid function. It can be used as a recommended option for treatment of cysticthyroid nodules.
ABSTRACT
Abstract; Aim To solve the problems in the appliea- tion of egg yolk leeithin endotoxin test method, and and to establish the baeterial endotoxin examination method for egg yolk lecithin (for injeetion). Methods The ethanol solution of Tween 80 ( the volume ratio of tween 80 to anhydrous ethanol was 2. 5 • 2. 7, mixed for 4 min) was used to prepare lecithin solution of egg yolk at 0. 1 kg • L 1 , and 10 test water was added to 1 mL lecithin solution of egg yolk (500 EU • mL 1 standard solution of endotoxin IOjxL was added for pos¬itive control). After diluted 20 times with endotoxin test water, the standard curve range was 10 ~0. 01 EU • mL 1 by kinetic-turbidimetrie assay. Methodology of endotoxin test was studied using limulus lysate from two manufacturers and eight hatches of samples. Results The recoveries of eight hatches of samples all met the requirement of interference test between 50% and 200% stipulated in the pharmacopoeia, which solved the problems of the current endotoxin test method in practical application. Conclusions The bacterial en¬dotoxin test method of egg yolk lecithin with good dura-bility is established to provide the basis for the revision of pharmacopoeia.
ABSTRACT
To investigate the value of injecting a small amount of absolute ethanol into the benign solid nodules of the thyroid before radiofrequency ablation(RFA)to improve the efficiency of radiofrequency ablation. A total of 98 eligible patients(98 nodules)with pathologically confirmed benign solid nodules who were treated in our center from December 2016 to February 2018 were included and randomized into ethanol ablation(EA)combined with radiofrequency ablation(RFA)group(EA+RFA group)and RFA group,with 49 patients in each group.Routine ultrasound,contrast-enhanced ultrasound(CEUS),and thyroid function test were performed before treatment and 1,3,6,and 12 months after treatment.The general information,treatment time,ablation energy,ablation power,postoperative nodule volume reduction ratio(VRR),symptom score(SS)and cosmetic score(CS),thyroid function level,and incidence of complications were compared between these two groups. The mean treatment time [(441.30±243.31)s (790.70±349.82)s;= 4.403, =0.000],mean ablation energy [(3.92±2.01)kJ (5.15±2.12)kJ;=2.709, =0.009],and mean ablation power [(6.07±1.44)W (7.30±1.29)W;=3.612, =0.006] were significantly lower in the EA+RFA group than in the RFA group.At 3,6 and 12 months after surgery,the VRR in the EA+RFA group was(57.73±11.07)%(=-3.16, <0.001),(64.40±10.56)%(=-5.45, <0.001),and(77.29±8.48)%(=-10.46, <0.001),respectively;the VRR in the RFA group was(55.44±13.01)%(=-1.76, <0.001),(65.28±11.33)%(=-5.09, <0.001),and(75.17±9.84)%(=-8.93, <0.001),which were significantly smaller than those before surgery.There was no significant difference in VRR between the EA+RFA group and the RFA group at 1(=3.41, =0.33),3(=2.05, =0.21),6(=2.77, =0.49),and 12 months(=5.05, =0.10)after treatment.During the follow-up,no recurrence of nodules was observed on CEUS.In the EA+RFA group,the SS [(1.77±0.86).(5.54±2.15);=9.63, <0.001] and the CS[(1.39±0.77).(3.32±0.61);=10.09, =0.004]at 12 months after surgery were significantly lower than those before surgery.In the RFA group,SS [(1.63±1.04).(5.90±1.79);=12.72, <0.001] and CS [(1.64±0.83).(3.15±0.72);=8.13, =0.012] at 12 months after surgery were also significantly lower than those before surgery.The CSS in the EA+RFA group was significantly lower than that in the RFA group [(0.93±0.55).(2.44±0.53);=-11.70, =0.007].Both groups had no significant change in thyroid function during the follow-up period,and no serious complications were observed. Anhydrous alcohol injection can effectively improve the efficiency of radiofrequency ablation in treating benign solid thyroid nodules and is effective in reducing nodule volume,alleviating compressive symptoms,and decreasing cosmetic discomfort.
Subject(s)
Humans , Catheter Ablation , Ethanol , Neoplasm Recurrence, Local , Prospective Studies , Thyroid Nodule , Treatment OutcomeABSTRACT
BACKGROUND: To retain more biological activity of organic matter and materials, it is necessary to grind and refine the pearl powder by physical method. The ball grinding method can retain the organic matter in the pearl powder and its activity to the greatest extent. The nanomaterials prepared by ball milling in different dispersion media exhibit different effects. OBJECTIVE: To compare nano-pearl powder milled with distilled water and anhydrous ethanol. METHODS: Nano-pearl powder was prepared by grinding with anhydrous ethanol and water as dispersion medium respectively. The prepared nano-pearl powder was compared by scanning electron microscope, transmission electron microscope, X-ray diffraction, Kjeldahl method and by determining amino acid content in foods. RESULTS AND CONCLUSION: (1) The nano-pearl powder prepared with anhydrous ethanol as dispersion medium was mainly round particles of different sizes (range, 30-50 nm), with the average grain size of 20 nm. The relative percentage of calcite calcium carbonate increased to 7%. The contents of protein and amino acid did not change obviously. (2) The nano-pearl powder prepared with distilled water as dispersion medium was mainly round particles of different sizes with the average grain size of 30 nm. There were irregular grain-like or block-like particles. The relative percentage of calcite calcium carbonate increased to 10%. The contents of protein and amino acid decreased. (3) These results showed that there was a significant difference in the particle size of the pearl powder ground with distilled water and anhydrous ethanol. The pearl powder prepared with anhydrous ethanol as the dispersion medium had a finer more uniform particle size.
ABSTRACT
Objective@#To investigate the treatment of auricle and periauricular arteriovenous malformations.@*Methods@#This is a retrospective study of 30 patients with auricle and periauricular arteriovenous malformations in Changfeng Hospital from February 2012 to March 2017. First, the patients were treated with anhydrous ethanol embolization, followed by transcatheter or direct percutaneous injection of anhydrous ethanol into the malformed vascular tissues. Angiography was performed every time with ethanol injection. The volume of malformed vascular tissues and injection pressure and speed were measured by hand-push angiography. The injection speed of the contrast agent was usually 0.2 ml/s, and malformed vascular tissue volume equal to the dose of the contrast medium filled with the malformed vascular tissues. With the same dose, injection pressure and speed, anhydrous ethanol was injected until all or part of the lesion was cured. The series of treatments were performed with the interval of 1 to 2 months. After embolization, wedge resection combined with lesion was performed to improve the shape of auricle, and to repair the defect of auricle in the cases of obvious auricle hypertrophy. The skin flap adjacent to the auricle was used to treat the auricle defect caused by embolization.@*Results@#The clinical manifestations of 30 patients such as ulcer, bleeding and tinnitus, were improved after 3 times of ethanol embolization. Angiography showed that the abnormal vascular mass completely disappeared in 8 patients. The vascular mass was shrunken by 50% to 75% in 15 patients, and that of 7 patients shrunken less than 50%. Six cases with obvious hypertrophic deformation of auricle were treated with wedge-shaped resection of auricle lesion to reduce the auricles. Three patients suffered partial auricle necrosis after ethanol embolization. They were treated with periauricular pedicle flap to repair the defects.@*Conclusions@#Sequential embolization with anhydrous ethanol could effectively improve the clinical manifestations and control the development of the lesions in patients with auricular arteriovenous malformations. When the auricle was obviously hypertrophic and deformed, the shape of the auricle could be improved with surgery.
ABSTRACT
This article reported the diagnosis and treatment process of a patient with diffuse infiltrating venous malformation on right lower extremity, perineum and buttock. This is a 14 years old female patient, presented with painless dark blue mass on right perineum, buttock, thigh and leg, after birth. The right perineum lost its normal appearance and the right lower extremity was thicker than contralateral. Imaging examination suggested venous malformations of perineum, buttock and right lower extremity. Anhydrous ethanol combined with lauromacrogol was used to embolize the venous malformations by several times. The patient was satisfied with the treatment outcome, and there was recurrence within a year.
ABSTRACT
ObjectiveTo assess the clinical value of ultrasound-guided percutaneous ethanol injection (PEI) in the treatment of hepatocellular carcinoma (HCC) combined with portal vein tumor thrombosis (PVTT).MethodsNinety HCC patients with different type PVTT underwent ultrasound-guided PEI once or twice a week.The follow-up lasted 12 to 60 months,and the 1-,2-,3-,4- and 5-year survival rates were calculated.ResultsThe median survival time of HCC combined with PVTT patients treated with PEI was 12 months,and the 1-,2-,3-,4- and 5-year survival rates was 52.22％,23.33％,15.56％,12.22％ and 10.00％,respectively.The survival rate correlated significantly to the type of PVTT.The lower the type of PVTT was,the longer the patients lived.ConclusionUltrasound-guided PEI is a safe and effective method for the treatment of HCC combined with PVTT,and can prolong the survival time of HCC patients with low type PVTT.