射频消融治疗甲状腺良性结节61例

发布时间：2018-01-02 04:13

本文关键词：射频消融治疗甲状腺良性结节61例　出处：《中国微创外科杂志》2016年09期 　论文类型：期刊论文

【摘要】：目的探讨超声引导下经皮射频消融治疗甲状腺良性结节的疗效。方法 2013年2月~2014年5月对61例甲状腺良性结节(87枚结节)超声引导下应用单针单极式射频消融针(18G×7 cm,射频工作段长度1 cm)进行消融治疗,观察术后1、3、6、12个月结节大小变化,测量结节最大径、体积、体积减少率。结果 61例均成功完成射频消融,其中3例1个月后行二次消融。无一例严重并发症发生,2例穿刺部位血肿,1例声音嘶哑,3例治疗中疼痛不适,1例呕吐,均顺利恢复。消融前结节最大径(2.24±0.63)cm,消融后1、3、6、12个月结节最大径分别为(1.82±0.81)、(1.52±0.72)、(1.03±0.43)、(0.56±0.36)cm;消融前结节体积(5.37±1.85)ml,消融后1、3、6、12个月结节体积分别为(4.41±2.16)、(3.19±1.92)、(1.34±0.61)、(0.69±0.41)ml;消融后体积减少率分别(20.7±13.2)%、(48.6±16.1)%、(77.3±4.7)%、(88.7±5.6)%。消融后第12个月,51个结节(58.6%)完全消失。结论超声引导下射频消融治疗甲状腺良性结节效果确切。
[Abstract]:Objective to evaluate the efficacy of ultrasound guided percutaneous radiofrequency ablation (RFCA) in the treatment of benign thyroid nodules. Methods from February 2013 to May 2014, 87 thyroid benign nodules were selected. Under the guidance of ultrasound, a single needle monopole radiofrequency ablation needle was used for 18G 脳 7cm. Radiofrequency ablation (1 cm) was performed to observe the changes of nodule size at 1: 3 and 12 months postoperatively. The maximum diameter and volume of the nodules were measured. Results radiofrequency ablation was successfully completed in 61 cases, of which 3 cases underwent second ablation one month later. No serious complications occurred in 2 cases with hematoma at the puncture site and 1 case had hoarseness. In 3 cases, pain, discomfort and vomiting in 1 case recovered smoothly. The maximum diameter of nodule before ablation was 2.24 卤0.63 cm, and that of 3 cases was 3 times after ablation. The maximum diameters of the nodules in 12 months were 1.82 卤0.81 and 1.52 卤0.72 and 1.03 卤0.43 and 0.56 卤0.36 cm, respectively. The nodule volume before ablation was 5.37 卤1.85 ml, and the nodule volume at 12 months after ablation was 3.19 卤1.92 and 4.41 卤2.16, respectively. 1. 34 卤0. 61 卤0. 61 卤0. 41 ml; The volume reduction rates after ablation were 20.7 卤13.2 and 48.6 卤16.1, respectively. Conclusion Ultrasound guided radiofrequency ablation is effective in the treatment of benign thyroid nodules.
【作者单位】：厦门大学附属第一医院杏林分院普外科;厦门大学附属第一医院杏林分院超声科;
【分类号】：R581
【正文快照】： 甲状腺疾病多发于青年女性,随着生活水平的提高及超声影像技术的发展,甲状腺结节的检出率日益上升,超声的首检率达20%~50%,其中良性肿物占85%~95%[1,2]。近年来,射频消融技术从肝、肺等疾病的治疗逐渐发展到甲状腺肿瘤的治疗,并显示出良好的效果。2013年2月~2014年5月我院对61

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