超声引导下微波消融术治疗甲状腺良性结节的临床效果  

Observation on the clinical efficacy of ultrasound-guided microwave ablation in the treatment of benign thyroid nodules

作　　者：武孟孟[1] 王丽[2] 韩勇[1] 安兴国 刘松 WU Mengmeng;WANG Li;HAN Yong;AN Xingguo;LIU Song(Department of Thyroid Surgery,Binzhou Medical University Hospital,Shandong,Binzhou 256603,China;Department of Ultrasonography Medicine,Binzhou City People's Hospital,Sh andong,Binzhou 256610,China)

机构地区：[1]滨州医学院附属医院甲状腺外科,山东滨州256603 [2]山东省滨州市人民医院超声医学科,山东滨州256610

出　　处：《中国医药科学》2021年第10期176-178,共3页China Medicine And Pharmacy

摘　　要：目的探讨超声引导下微波消融术治疗甲状腺良性结节的临床疗效。方法选取2018年8月至2020年5月我院收治的良性甲状腺结节患者116例,采用随机数字表法分为两组,对照组应用传统切除术治疗,研究组应用超声引导下微波消融术治疗。比较两组手术时间、术中出血量、住院时间、甲状腺相关激素水平、并发症发生率。结果研究组手术时间、术中出血量、住院时间均低于对照组(P<0.05);研究组促甲状腺激素(TSH)低于对照组(P<0.05),血清游离甲状腺素(FT4)、游离三碘甲腺原氨酸(FT3)均高于对照组(P<0.05);研究组喉返神经损伤、术后出血、甲状腺功能低下并发症低于对照组(P<0.05)。结论彩超引导下微波消融术治疗甲状腺良性结节住院、手术时间短,出血量少,对甲状腺功能影响小,并发症少,临床上值得推广应用。Objective To investigate the clinical efficacy of ultrasound-guided microwave ablation in the treatment of benign thyroid nodules.Methods A total of 116 patients with benign thyroid nodules admitted to our hospital from August 2018 to May 2020 were selected and divided into the control group and the study group according to the random number table method.The control group was treated with conventional resection,while the study group was treated with ultrasound-guided microwave ablation.The operation time,intraoperative hemorrhage volume,hospitalization time,thyroid-related hormone levels and the incidence of complications were compared between the two groups.Results The operation time,intraoperative hemorrhage volume and hospitalization time in the study group were all lower than those in the control group(P<0.05).The level of thyroid stimulating hormone(TSH)in the study group was lower than that in the control group(P<0.05).And the levels of serum free thyroxine(FT4)and free triiodothyronine(FT3)were all higher than those in the control group(P<0.05).The incidences of complications,such as recurrent laryngeal nerve injury,postoperative hemorrhage and hypothyroidism in the study group were lower than those in the control group(P<0.05).Conclusion Ultrasound-guided microwave ablation in the treatment of benign thyroid nodules has the advantages of shorter hospitalization and operation time,less hemorrhage volume,less impact on thyroid function and fewer complications.Therefore,it is worthy of promotion and application in clinic.

关 键 词：甲状腺结节 超声引导下 微波消融术 临床疗效 

分 类 号：R445.1[医药卫生—影像医学与核医学] R653[医药卫生—诊断学]