目的探讨经皮穿刺博莱霉素囊内注射治疗甲状腺囊腺瘤的可行性,寻找一种治疗甲状腺囊腺瘤新的保守治疗方法。方法选取经彩超确诊的甲状腺囊腺瘤患者28例,共32个囊性腺瘤,采用经皮穿刺囊内注射博莱霉素的方法治疗并随访1年。结果32个囊腺瘤中治愈26个,腺瘤明显缩小5个,1例无效。治愈率81.3%,总有效率96.9%。结论经皮穿刺博莱霉素囊内注射是一种治疗甲状腺囊腺瘤行之有效的保守治疗方法。 Objective To investigate the feasibility of intradermal injection of bleomycin intracytoplasmic sphincter for the treatment of thyroid cystadenoma, looking for a new conservative treatment of thyroid cystadenoma. Methods Twenty-eight cases of thyroid cystadenocarcinoma confirmed by color Doppler ultrasonography were enrolled. A total of 32 cystadenomas were treated by percutaneous puncture with bleomycin and followed up for one year. Results 32 cystadenoma cured 26 adenomas significantly reduced 5, 1 case of ineffective. The cure rate is 81.3%, the total effective rate is 96.9%. Conclusion Percutaneous puncture of bleomycin intracapsular injection is an effective conservative treatment of thyroid cystadenoma.