摘要
目的分析超声引导下射频消融(radiofrequency ablation,RFA)技术应用于甲状腺良性结节治疗的效果、安全性及前景。方法选取2015年9月-2016年8月郑州大学第一附属医院甲状腺外科153例甲状腺单发良性结节行超声引导下RFA术的病例,收集相关资料。行RFA术后第1个月复查甲状腺功能,第1、3、6个月超声下观察结节变化,计算甲状腺结节体积改变及病灶缩小率,分析RFA治疗的效果。结果所有病例均顺利进行超声引导下RFA术,术后随访153例,结节最大径和体积均明显缩小(P<0.05),症状亦明显改善,术后没有严重并发症出现。结论RFA技术治疗甲状腺良性结节具有并发症少、创伤小、安全性高、效果确切等明显优势,具有较好的临床应用前景。
Objective To evaluate the effectiveness,safety and prospect of ultrasound guided radiofrequency ablation(RFA)in treatment of thyroid benign nodules.Methods We analyzed153patients with thyroid benign nodules from September2015to August2016treated by RFA at Department of Thyroid Surgery,the First Affiliated Hospital of Zhengzhou University.One month later,we reviewed the thyroid functions after the operation,observed the changes of the nodules after1,3,and6months,calculated the volume reduction rate of the nodules,and analyzed the effectiveness of the treatment.Results After treatment,the maximum diameter and volume of the nodules were significantly reduced in all the patients(P<0.05).The patients'symptoms improved significantly without serious complications.Conclusion Ultrasound guided RFA has obvious advantages such as fewer complications,less invasiveness,good safety,and definite effectiveness in treating thyroid benign nodules.Therefore,it has promising prospects in clinical application.
作者
王勇飞
殷德涛
马润声
李红强
柳桢
苌群刚
唐艺峰
WANG Yongfei;YIN Detao;MA Runsheng;LI Hongqiang;LIU Zhen;CHANG Qungang;TANG Yifeng(Department of Thyroid Surgery,the First Affiliated Hospital of Zhengzhou University;Key Discipline Laboratory of Clinical Medicine of Higher Learning Institutions in Henan Province,Zhengzhou 450052,China)
出处
《西安交通大学学报（医学版）》
CAS
CSCD
北大核心
2018年第1期9-12,共4页
Journal of Xi’an Jiaotong University（Medical Sciences）
基金
国家自然科学基金资助项目(No.81372863)
河南省科技攻关项目(No.162102310514)~~
关键词
射频消融
超声引导
甲状腺良性结节
radiofrequency ablation
ultrasound guided
thyroid benign nodule
