超声引导下微波消融治疗甲状腺微小乳头状癌与外科手术切除的研究

发布时间：2018-06-06 06:28

本文选题：超声检查 + 甲状腺　；参考：《中国超声医学杂志》2017年05期

【摘要】：目的探讨甲状腺微小乳头状癌患者超声引导下经皮微波消融治疗与外科手术切除治疗的临床效果与安全性分析。方法将采取超声引导下细针穿刺活检(FNAB)确诊为甲状腺乳头状癌的65例患者,结节最大直径1.0cm。根据患者自愿,消融组30例,手术组35例。观察两组的手术时间、出血、并发症、术后甲状腺相关激素变化及消融组术后肿瘤的体积缩小情况。结果消融组具有手术时间短、术中出血少、住院时间短、术后甲状腺相关激素波动小,差异均有统计学意义(P0.05)。两组术后并发症及有效率无统计学意义(P0.05)。结论超声引导下微波消融治疗甲状腺微小乳头状癌较手术有明显优势,为不愿手术及有手术禁忌证的患者的一种新型微创治疗方法。
[Abstract]:Objective to investigate the clinical efficacy and safety of ultrasound guided percutaneous microwave ablation and surgical resection in patients with thyroid micropapillary carcinoma. Methods Sixty-five patients with papillary thyroid carcinoma were diagnosed by ultrasound guided fine needle biopsy (FNAB). The maximum diameter of the nodules was 1.0 cm. According to the patient's voluntary, 30 cases in ablation group and 35 cases in operation group. The operative time, bleeding, complications, changes of thyroid related hormones and tumor volume in the ablation group were observed. Results in the ablation group, the operation time was short, the bleeding was less, the hospitalization time was short, the fluctuation of thyroid related hormones was small after operation, and the difference was statistically significant (P 0.05). There was no significant difference in postoperative complications and effective rate between the two groups (P 0.05). Conclusion Ultrasound-guided microwave ablation is a new minimally invasive treatment for thyroid micropapillary carcinoma.
【作者单位】：浙江大学医学院附属第二医院超声科;杭州市余杭区第一人民医院超声科;浙江大学医学院附属第二医院甲状腺外科;
【分类号】：R445.1;R736.1

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