超声引导下微波消融术用于甲状腺良性结节对甲状腺功能及结节体积水平的影响分析  

Ultrasonic-guided microwave ablation was used to analyze the effect of benign thyroid nodules on thyroid function and nodule volume level

作　　者：商百良 SHANG Bailiang(Department of General Surgery,Panjin Central Hospital,Liaoning Province,Panjin,Liaoning,124000,China)

机构地区：[1]辽宁省盘锦市中心医院普外科,辽宁盘锦124000

出　　处：《当代医学》2022年第10期72-74,共3页Contemporary Medicine

基　　金：国家自然科学基金(81072912);辽宁省中医药临床学(专)科能力建设项目(2012-lnzyxzk-02)。

摘　　要：目的分析超声引导下微波消融术治疗甲状腺良性结节对患者甲状腺功能、结节体积水平的影响。方法选取本院2018年3月至2020年3月收治的120例甲状腺良性结节患者作为研究对象,随机分为观察组与对照组,每组60例。对照组给予腹腔镜切除术治疗,观察组给予超声引导下微波消融术治疗,比较两组术后甲状腺功能、结节体积水平、疼痛评分及并发症发生率。结果观察组FT_(3)、FT_(4)水平均低于对照组,FSH水平高于对照组,结节体积小于对照组,差异均有统计学意义(P<0.05)。术后8、24、48 h,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。两组并发症发生率比较差异无统计学意义。结论超声引导下微波消融术治疗甲状腺良性结节效果显著,可促进患者甲状腺腺体功能恢复正常状态,缓解患者疼痛感,改善预后,值得临床推广应用。Objective To analyze the effect of ultrasound-guided microwave ablation on benign thyroid nodules on thyroid function and nodule volume level.Methods 120 patients with benign thyroid nodules admitted to our hospital from March 2018 to March 2020 were selected and they were randomly divided into observation groups and control groups,with 60 cases in each group.The control group was given laparoscopic resection,and the observation group was given ultrasound-guided microwave ablation.The postoperative thyroid function,nodule volume level,pain score,and complication incidence were compared between the two groups.Results The levels of FT_(3) and FT_(4) in the observation group were lower than those in the control group,the level of FSH was higher than that in the control group,and the nodule volume was smaller than that in the control group,and the differences were statistically significant(P<0.05).At 8,24,and 48 h after operation,the VAS scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups.Conclusion Ultrasonic-guided microwave ablation treated benign thyroid nodules,which can promote thyroid gland function to normal state,relieve pain,improve prognosis,and deserve clinical application.

关 键 词：超声引导 微波消融术 甲状腺良性结节 甲状腺功能 结节体积 

分 类 号：R653[医药卫生—外科学]