超声引导下经皮穿刺微波消融术治疗Graves病30例效果观察  

Ultrasound-guided percutaneous microwave ablation for Graves disease: a clinical observation of 30 cases

作　　者：陈建发[1] 杨雪丰[1] 陈引香[1] 许铭贵 冯蕊[1] 李水丽 岳志强[1] 周淑蓉[1] CHEN Jian-fa1, YANG Xue-feng1, CHEN Yin-xiang1, XU Ming-gui2, FENG Rui1, LI Shui-li2, YUE Zhi-qiang1, ZHOU Shu-rong1(1. Department of General Surgery; 2. Department of Ultrasound; PLA 422nd Hospital, Zhanjiang 524005, Chin)

机构地区：[1]中国人民解放军第422医院普通外科,广东湛江524005 [2]中国人民解放军第422医院超声科,广东湛江524005

出　　处：《广东医科大学学报》2017年第5期528-531,共4页Journal of Guangdong Medical University

摘　　要：目的观察超声引导下经皮穿刺微波消融术(UPMA)治疗Graves病的疗效及安全性。方法回顾性分析UPMA治疗30例Graves病患者临床资料。结果30例均成功进行了UPMA。平均手术、住院时间分别为(19.4±2.1)min、(2.9±0.3)d。术后均无甲亢危象、声音嘶哑、低钙血症、皮下血肿和切口感染等并发症;1例术后甲减,3个月恢复正常。随访6个月,全部患者均达到临床显效,21例甲状腺萎缩体积>50.0%。结论 UPMA治疗Graves病具有创伤小、恢复快、疗效好的优点。Objective To observe the efficacy and safety of ultrasound-guided percutaneous microwave ablation（UPMA） for Graves disease（GD）. Clinical data of 30 GD cases undergoing UPMA were retrospectively analyzed. Methods Results UPMA was successfully performed on all cases. The mean operation time and hospital stay were（19.4±2.1） min and（2.9± 0.3） days, respectively. There were no postoperative complications including hyperthyroidism crisis, hoarseness, hypocalcemia, subcutaneous hematoma and incisional infection. Only one patient presented with postoperative hypothyroidism and recovered after 3 months. All the patients were clinicdly sinificant and the atrophy of thyroid gland was 〉50.0% in 21 cases after 6-month follow-up. Conclusion UPMA is of less trauma, rapid recovery and good efficacy for GD.

关 键 词：GRAVES病 微波消融术 超声 

分 类 号：R581.1[医药卫生—内分泌]