消融术在甲状腺肿瘤应用中的是与非  

The rights and wrongs of ablation in treating thyroid tumors

作　　者：殷德涛[1] 乔立雪 YIN Detao;QIAO Lixue(Department of Thyroid Surgery,The First Affiliated Hospital of Zhengzhou University,Engineering Research Center of Multidisciplinary Diagnosis and Treatment of Thyroid Cancer of Henan Province,Key Medicine Laboratory of Thyroid Cancer of Henan Province,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院甲状腺外科,河南省甲状腺癌多学科诊疗工程研究中心,河南省甲状腺癌医学重点实验室,河南郑州450052

出　　处：《西安交通大学学报（医学版）》2024年第1期39-43,共5页Journal of Xi’an Jiaotong University（Medical Sciences）

基　　金：河南省自然科学基金面上项目(No.222300420568);河南省医学科技攻关重大计划项目(No.SBGJ202101014);河南省中医药研究重大专项(No.20-21ZYZD14);河南省中青年医学科技创新领军人才项目(No.YXKC2020015)。

摘　　要：结合相关指南及专家共识,对消融术在甲状腺肿瘤中的应用现状进行总结。消融术在甲状腺良性肿瘤中的应用近年来逐渐成熟,而在甲状腺恶性肿瘤中的应用存在较大争议,已有部分临床实践正不断尝试拓宽消融术在甲状腺恶性肿瘤方面的应用范围。目前消融术主要适用于甲状腺良性肿瘤,预后良好且患者满意度高。由于该技术无法避免甲状腺恶性肿瘤潜在的复发风险及根除局部或远处隐匿性转移,故应用于甲状腺恶性肿瘤时应严格把握适应证。This article summarizes the current status of the application of ablation in thyroid tumors with reference to relevant guidelines and expert consensus.The application of ablation in treating benign thyroid tumors has gradually gained maturity in recent years,but the application in malignant thyroid tumors is controversial.Currently,some clinical practices are constantly trying to broaden the application of ablation in treating malignant thyroid tumors.Ablation,which is mainly applied to benign thyroid tumors,has good prognosis and high patient satisfaction.Since this technique cannot avoid the potential recurrence risk of malignant thyroid tumors or eradicate local or distant occult metastases,the indications for the use of ablation in malignant thyroid tumors should be strictly controlled.

关 键 词：甲状腺肿瘤 消融术 应用现状 

分 类 号：R653[医药卫生—外科学]