超声引导下经皮微波消融甲状腺术后复发结节的临床研究  

Ultrasound guided percutaneous microwave ablation in the treatment of recurrent thyroid nodules

作　　者：刘玉辉[1] 王文玲[2] 王毅[1] 安鲁彪 史冠军[1] 冯斌[1] 

机构地区：[1]武警北京总队第三医院外一科北京,100141 [2]武警北京总队第三医院超声科

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第7期622-624,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：探讨超声引导下微波消融（MWA）治疗甲状腺术后复发的甲状腺结节的临床效果。方法：对75例甲状腺术后复发结节患者在局部麻醉下行超声引导下MWA治疗,术前均行穿刺活检,经穿刺口将微波消融针穿刺在结节的中心部位开启消融,应用能量为25~35 W,其中心温度可达70~95℃。结果：患者均成功行MWA,术中部分患者有轻微不适,但无明显并发症发生。5例出现暂时性声嘶,均在术后1~3周恢复;2例出现饮水呛咳,术后3~5d恢复正常。术后3、6个月超声复查,全部患者甲状腺结节血流消失,结节有不同程度的缩小,血清FT4、TSH结果无明显改变。结论：超声引导下MWA治疗甲状腺术后复发甲状腺结节疗效好,且微创优势明显。Objective：To explore the clinical effect of ultrasound guided microwave ablation in the treatment of recurrent thyroid nodules.Method：Seventy-five cases of recurrent thyroid nodules were treated with ultrasound guided microwave ablation（MWA）under local anesthesia.All the patients underwent biopsy puncture,then the microwave ablation needle puncted in the center site of nodule with energy of 25-35 W,and the center temperature could reach to 70-95℃.Result：MWA were successfully performed in all the patients without significant complications.Temporary hoarseness occurred in 5cases and dispeared after 1-3weeks,choking water occurred in 2patients and recovered 3-5days later.Ultrasound examination showed that the bloodstream of thyroid nodules disappeared in all the patients,and the nodules diminuted with varying degrees at 3-month and at 6-month followup Serum FT4 and TSH did not change significantly.Conclusion：Ultrasound guided MWA could be effective in the treatment of recurrent thyroid nodule with minimal invasive technology.

关 键 词：超声引导 微波消融 甲状腺结节 复发 

分 类 号：R581.3[医药卫生—内分泌]