精细针吸收后的急性过渡性甲状腺胀:一系列病例和系统审查
Da-Kun Zhang1, Xin-Yan Zhu1, Jing-Bo Guan1
1Department of Ultrasound, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Gland surgery
|June 23, 2025
概括
精细针吸入后急性过渡性甲状腺胀 (ATTS) 是罕见的,但可能是严重的. 大多数病例会很快消失,但严重的症状需要立即进行呼吸道管理.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 急性过渡性甲状腺胀 (ATTS) 是甲状腺细针吸收 (FNA) 后的一种罕见并发症.
- 有限的文献存在,需要改善临床理解.
- 本研究回顾了机构和文献案例,以定义ATTS特征.
研究的目的:
- 在FNA之后划分ATTS的临床特征.
- 为了确定ATTS的特征性成像发现.
- 概述ATTS的适当管理策略.
主要方法:
- 追溯分析28个案例 (10个机构,18个文献).
- 数据收集时间为2024年8月1日.
- 系统的文献审查和案例系列汇编.
主要成果:
- 在28例ATTS病例中,89%为女性,71%患有双侧.
- 症状通常在FNA后1小时内出现,79%的病例在24小时内自发消失.
- 超声波显示带有低声区;严重并发症很少 (3%),非药物治疗往往足够.
结论:
- 在FNA后的ATTS通常是自我限制的,具有特定的超声波发现.
- 对于严重的ATTS病例来说,优先考虑气道管理.
- 避免对轻度ATTS呈现进行不必要的干预.
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