彩色B超引导下射频消融治疗甲状腺良性结节30例报告  

Doppler ultrasound guided radiofrequency ablation for the treatment of thyroid benign nodules(30 Cases)

作　　者：苏力夫[1] 张生彬[1] 朱永蒙[2] 

机构地区：[1]内蒙古医科大学第三附属医院普外科,内蒙古包头014010 [2]内蒙古医科大学第三附属医院,内蒙古包头014010

出　　处：《中国现代医学杂志》2013年第5期97-100,共4页China Journal of Modern Medicine

摘　　要：目的探讨超声引导下射频消融(radiofrequency ablation,RFA)治疗甲状腺良性结节的可行性。方法内蒙古医科大学第三附属医院2010年6月～2011年10月彩色B超引导下行RFA治疗的甲状腺腺瘤或囊腺瘤患者30例。全部病例均采用彩色B超引导下的麻醉穿刺途径,并同时在甲状腺与颈动脉鞘、甲状腺与食管气管之间注射麻醉药使甲状腺与喉返神经形成隔离带,以防止神经的热损伤。然后在彩色B超引导下将射频针刺入肿瘤中心位置进行消融,并通过超声实时观察,当肿瘤完全为强回声所覆盖,肿瘤区域血流消失,完成治疗。结果 30例均成功行RFA,术中无明显并发症发生,1例术后出现穿刺部位感染。RFA术后6个月有53.3%(16/30)患者结节全部吸收,26.7%(8/30)结节体积较术前缩小≥50%。结论超声引导下RFA治疗甲状腺良性结节疗效确切,创伤小,具有良好的美容效果,优势明显,是一种值得推广的手术方法。【Objective】 To discuss the feasibility of doppler ultrasound guided radiofrequency ablation（RFA） in the treatment of thyroid benign nodules.【Methods】 Analysis of thirty patients who underwent RFA for the treatment of thyroid adenoma or cystadenoma in the third Affiliated Hospital of inner mongolia medical University from June 2011 to October 2012.The anesthesia puncture pathway was performed under the guidance of color doppler ultrasound in all cases.In order to prevent the thermal injury of nerves,create an isolation belt between the thyroid and recurrent laryngeal nerve by inject anesthetic between the thyroid gland and the carotid sheath,esophagus,trachea respectively.RFA began when the radiofrequency needle were pierced into the central location of tumor under the guidance of color doppler ultrasound.Real time observation was made by ultrasound,treatment completed when the tumor was completely covered by the strong echo and tumor regional blood flow disappeared.【Results】 All the cases underwent RFA,no one had serious complication during the operation,only one had infection after operation.During the 6 months follow-up, 53.3%（16 / 30） of nodules disappeared and the volume-reduction greater than 50% was observed in 26.7%（8 / 30）.【Conclusion】 Doppler ultrasound guided RFA is an effective method for benign thyriod patients,with minor trauma and good cosmetic results.And it has obvious advantage and worth of popularization.

关 键 词：射频消融 甲状腺良性结节 超声引导 

分 类 号：R581.3[医药卫生—内分泌]