甲状腺良性结节微波消融短期疗效及影响因素分析  

Factors related to the short-term curative effects of the benign thyroid nodules after microwave ablation

作　　者：孙晓菁 李昕莹 李思瑶 曹小丽[1] 薛杰[1] 曲妮娜 高莹[1] SUN Xiaojing;LI Xinying;LI Siyao;CAO Xiaoli;XUE Jie;QU Nina;GAO Ying(Department of Ultrasound,Yantai Yuhuangding Hospital,Qingdao University,Yantai 264000,Shandong,China;College of Medical Imaging,Binzhou Medical University,Yantai 264000,Shandong,China)

机构地区：[1]青岛大学附属烟台毓璜顶医院超声科,山东烟台264000 [2]滨州医学院医学影像学院,山东烟台264000

出　　处：《山东大学耳鼻喉眼学报》2021年第4期60-63,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：青岛大学附属烟台毓璜顶医院横向基金(RH2000001632)。

摘　　要：目的探讨甲状腺良性结节微波消融治疗的短期疗效及影响因素。方法回顾性分析133例患者133个甲状腺良性消融结节,计算术后1、3、6个月结节体积缩小率,评估患者年龄、性别、消融能量、结节成分、结节初始体积、血供丰富程度等因素对结节体积缩小率的影响。结果甲状腺消融术后1、3、6个月结节体积逐渐缩小,体积缩小率分别为(47.48±23.24)%、(73.06±16.63)%、(84.44±14.68)%,患者性别、总消融能量、单位体积消融能量、结节成分均与消融术后6个月结节体积缩小率相关(P<0.05),患者性别、总消融能量及结节成分均为消融术后短期疗效的独立影响因素(P<0.05)。结论甲状腺良性结节微波消融是一种安全有效的治疗方法,男性、适当的消融能量及囊实性结节疗效更佳。Objective The aim of this research is to investigate the effects and related factors of microwave ablation for benign thyroid nodules.Methods 133 benign thyroid nodules were followed up after 1,3,6 months.The volume reduction rate were calculated respectively.The related factors were analyzed,such as the age,gender,the ablation power,ablation energy and energy per ml,The component of nodules,initial volume and blood supply of nodules.Results The volume of nodules were reduced gradually,and the reduction rate were(47.48±23.24)%,(73.06±16.63)%,(84.44±14.68)%,respectively.Gender,ablation energy and component of the thyroid nodules were independent factors(P<0.05).Conclusion The microwave ablation is an effective and safe treatment for benign thyroid nodules,the short-term curative effects of male patients,nodules with,appropriate ablation energy and mixed nodules could be more ideal.

关 键 词：微波消融 甲状腺结节 良性 

分 类 号：R445[医药卫生—影像医学与核医学]