超声引导下经皮微波消融术治疗甲状腺良性结节55例临床分析  

Ultrasound-guided percutaneous microwave ablation for 55 cases of benign thyroid nodules

作　　者：杨雪丰[1] 陈建发[1] 冯蕊[1] 岳志强[1] 傅明[1] YANG Xue-feng CHEN Jian-fa FENG Rui YUE Zhi-qiang FU Ming(Department of General Surgery, the 422nd Hospital of PLA, Zhanjiang 524009, Chin)

机构地区：[1]中国人民解放军第422医院普外科,广东湛江524009

出　　处：《广东医学院学报》2016年第2期169-172,共4页Journal of Guangdong Medical College

摘　　要：目的总结彩超引导下经皮穿刺微波消融术治疗甲状腺良性结节的临床疗效。方法回顾性分析55例彩超引导下经皮穿刺微波消融术治疗甲状腺良性结节患者的临床资料。结果 55例均成功进行了微波消融治疗,未见声音嘶哑、抽搐等并发症。手术时间、住院时间分别为(17.5±1.4)min、(1.5±0.3)d。术后3个月44例(80%)结节完全消失,8例(14.5%)结节体积缩小>50%,3例(5.5%)结节体积缩小<50%。结论超声引导下经皮微波消融术治疗甲状腺良性结节安全、有效。Objective To summarize the clinical efficacy ofultrasound-gnided percutaneous microwave ablation （UPMWA） in benign thyroid nodules. Methods Clinical data of 55 patients with benign thyroid nodules underwent UPMWA were retrospectively analyzed. Results UPMWA was successfully performed on all 55 cases, without postoperation complications such as hoarseness and tetania. The mean operation time and hospital stay were （17.5±1.4） minutes and （1.5±0.3） days, respectively.The thyroid nodules disappeared in 44 cases （80.0%）, and reduced with 〉50% in 8 cases （14.5%） and 〈50% in 3 cases （5.5%） at 3-month follow-up. Conclusion UPMWA is safe and effective for benign thyroid nodules.

关 键 词：微波消融 甲状腺结节 超声 

分 类 号：R736.1[医药卫生—肿瘤]