超声引导下射频消融术联合无水乙醇消融治疗甲状腺囊实性结节疗效分析  

Analysis of the effect of ultrasound-guided radio frequency catheter ablation combined with anhydrous ethanol ablation in the treatment of solid nodules of thyroid cyst

作　　者：李静[1] 周和平[1] 孙建鹰[1] 杨鸿捷[1] Li Jing;Zhou Heping;Sun Jianying;Yang Hongjie(Department of Hepatobiliary Surgery,the Sixth People's Hospital of Chengdu City,Sichuan Chengdu 610051)

机构地区：[1]成都市第六人民医院肝胆外科,四川成都610051

出　　处：《中国社区医师》2020年第20期16-17,共2页Chinese Community Doctors

摘　　要：目的:分析超声引导下射频消融术联合无水乙醇消融治疗良性甲状腺囊实性结节的临床疗效。方法:2017年5月-2018年6月收治甲状腺囊实性结节患者80例,随机分为两组。观察组采用射频消融结合无水消融治疗;对照组采用无水乙醇消融治疗。比较两组临床疗效。结果:观察组治疗有效率显著高于对照组,差异有统计学意义(P<0.05)。结论:射频消融结合无水乙醇消融治疗甲状腺囊实性结节,疗效明显优于单纯使用无水乙醇消融,特别是针对囊实性结节体积>30 mL或囊实比<50%的病例,可作为临床首选治疗方案。Objective:To analyze the clinical effect of ultrasound guided radio frequency catheter ablation combined with anhydrous ethanol ablation in the treatment of benign thyroid cystic solid nodules.Methods:From May 2017 to June 2018,80 patients with solid thyroid nodules were enrolled,they were randomly divided into two groups.The observation group was treated with radio frequency catheter ablation combined with anhydrous ethanol ablation and the control group was treated with anhydrous ethanol ablation.The therapeutic effects between the two groups was compared.Results:The effective rate of treatment in observation group was significantly higher than control group,the difference was statistically significant(P<0.05).Conclusion:Radio frequency catheter ablation combined with anhydrous ethanol ablation is superior to anhydrous ethanol ablation in the treatment of solid thyroid nodules,especially for those cases with a cystic solid nodule volume>30 mL or a cyst-solid ratio<50%,it can be used as the clinical treatment of choice.

关 键 词：超声引导 甲状腺囊实性结节 射频消融术 无水乙醇消融术 结节体积 

分 类 号：R581[医药卫生—内分泌]