超声引导下经皮射频消融治疗甲状腺良性结节的效果分析  

Effect Analysis of Ultrasound-Guided Percutaneous Radiofrequency Ablation in Treatment of Benign Thyroid Nodules

作　　者：马李 胡芳 吴保安 Ma Li;Hu Fang;Wu Baoan(Thyroid and Breast Surgery Department,Suqian Sihong Hospital,Suqian 223900,Jiangsu Province,China)

机构地区：[1]宿迁市泗洪医院甲乳外科,江苏宿迁223900

出　　处：《中国社区医师》2024年第8期34-36,共3页Chinese Community Doctors

摘　　要：目的:探讨甲状腺良性结节患者应用超声引导下经皮射频消融治疗的效果。方法:选取2018年1月—2023年12月宿迁市泗洪医院收治的甲状腺良性结节患者70例作为研究对象,随机分为对照组与研究组,各35例。对照组实施常规手术治疗,研究组实施超声引导下经皮射频消融治疗。比较两组治疗效果。结果:研究组术中出血量少于对照组,手术时间、住院时间短于对照组,差异有统计学意义(P<0.001)。术后1个月,两组游离三碘甲状腺原氨酸、游离甲状腺素水平低于术前,且研究组低于对照组,两组促甲状腺激素水平高于术前,且研究组高于对照组,差异有统计学意义(P<0.001)。术后1个月,两组皮质醇、肾上腺素水平高于术前,但研究组低于对照组,差异有统计学意义(P<0.001)。研究组并发症总发生率低于对照组,差异有统计学意义(P=0.046)。研究组治疗总有效率高于对照组,差异有统计学意义(P=0.024)。结论:超声引导下经皮射频消融治疗甲状腺良性结节的临床效果显著,可减少术中出血量,促进康复,减轻应激反应,降低并发症发生率。Objective:To explore the effect of ultrasound-guided percutaneous radiofrequency ablation in patients with benign thyroid nodules.Methods:A total of 70 patients with benign thyroid nodules treated in Suqian Sihong Hospital from January 2018 to December 2023 were selected as the study subjects.They were randomly divided into a control group and a study group with 35 cases in each group.The control group received routine surgical treatment and the study group received ultrasound-guided percu⁃taneous radiofrequency ablation treatment.The treatment effects were compared between two groups.Results:The intraoperative blood loss in the study group was lower than that in the control group,and the operation time and length of hospital stay in the study group were shorter than those in the control group,and the difference was statistically significant(P<0.001).At 1 month af⁃ter operation,the levels of free triiodothyronine and free thyroxine in the two groups were lower than those before operation,and the levels in the study group were lower than those in the control group,while the levels of thyroid-stimulating hormone in the two groups were higher than those in the control group,and the levels in the study groups were higher than those in the control group,and the difference was statistically significant(P<0.001).At 1 month after operation,the levels of cortisol and epinephrine in the two groups were higher than those before operation,but the levels in the study group were lower than those in the control group,and the difference was statistically significant(P<0.001).The total incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P=0.046).The total effective rate of treatment in the study group was higher than that in the control group,and the difference was statistically significant(P=0.024).Conclusion:Ultrasound�guided percutaneous radiofrequency ablation has significant clinical effect in the treatment of benign thyroid nodules,whi

关 键 词：经皮射频消融治疗 甲状腺良性结节 应激反应 

分 类 号：R653[医药卫生—外科学]