B超引导下经皮甲状腺结节穿刺热消融治疗的临床应用  

Clinical application of B ultrasound-guided percutaneous puncture and thermal ablation in the treatment of thyroid nodules

作　　者：李俊韬[1] 夏来阳[1] 黄兴伟[1] 戴素娟[2] 

机构地区：[1]江西省赣州市人民医院普外二科,江西赣州341000 [2]江西省赣州市人民医院病理科,江西赣州341000

出　　处：《中国当代医药》2017年第36期27-29,共3页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2015ZSF188)

摘　　要：目的分析甲状腺结节患者采用B型超声引导下经皮穿刺热消融技术进行治疗的临床效果。方法选取2015年6月~2017年6月我院收治的92例甲状腺结节疾病患者作为研究对象,以随机分组的方法将其分成对照组和治疗组,每组各46例。对照组采用常规方式进行治疗;治疗组采用B型超声引导下经皮穿刺热消融技术进行治疗。比较两组患者甲状腺疾病症状消失时间和治疗总时间、治疗导致的不良反应、临床治疗总有效率、对甲状腺疾病治疗计划和所达到的治疗效果的满意度。结果治疗组患者甲状腺疾病症状消失时间和治疗总时间短于对照组,差异有统计学意义(P<0.05);治疗组患者的不良反应发生率(4.3%)低于对照组(21.7%),差异有统计学意义(P<0.05);治疗组患者的临床治疗总有效率(91.3%)高于对照组(71.7%),差异有统计学意义(P<0.05);治疗组患者对甲状腺疾病治疗计划和所达到的治疗效果的总满意度(93.5%)高于对照组(78.3%),差异有统计学意义(P<0.05)。结论甲状腺结节患者采用B型超声引导下经皮穿刺热消融技术进行治疗,可以迅速控制病情,大幅度改善甲状腺功能,减少不良反应,提升治疗效果和患者的满意度。Objective To analyze the clini effect of percutaneous puncture and thermal ahlation guided by B ultra- sound in the treatment of patients with thyroid nodules.Methods A total of 92 patients with thyroid nodules from June 2015 to June 2017 treated in our hospital were selected ＇s the subjects,and evenly divided into control group and treat- ment group in random,46 cases in each group.In the control group,rputine therapy was used,while in the treatment group B ultrasound-guided percutaneoua puncture and thermal ablation was adopted.The time of the symptoms disap- pearing of thyroid disease,total therapeutic time,adverse reactions caused by the treatment,total clinical effectiveness rate of thyroid nodule disease,and the satisfaction on therapeu.tic regimen of thyroid disease and the achieved treatment effect were compared between the two groups.Results In the treatment group,the time of symptomatic disappearance and total therapeutic time of thyroid disease were shorter than those in the control group,with significant differences （P〈 0.05）.The rate of adverse reactions caused by the treatment in the treatment group （4.3%） was lower than that in the control group （21.7%）,the difference was statistically significant（P〈0.O5）.The total clinical effectiveness rate of patients in the treatment group （91.3%） was,higher than that that in the control group （71.7%）,the difference was statistically significant （P〈0.05）.The total satisfaction on the treatment plan and achieved effect of thyroid disease in the treatment group （93.5%） was higher than that in the control group （78,3%）,the difference was statistically significant （P〈0.05）. Conclusion For patients with thyroid nodules,application of B ultrasound-guided pereutaneous puncture and thermal ablation can quickly control the disease condition,greatly improve the thyroid function,reduce adverse reactions,and fi- nally markedly enhance the therapeutic effect and patient＇s satisfaction.

关 键 词：甲状腺结节 B型超声 经皮穿刺 热消融 治疗 效果 

分 类 号：R736.1[医药卫生—肿瘤]