射频消融治疗、手术切除治疗甲状腺结节的临床应用对比研究  

A Comparative Study of the Clinical Application of Radiofrequency Ablation Therapy and Surgical Resection for the Treatment of Thyroid Nodules

作　　者：赵冬夏 黄钰 曹凌强 ZHAO Dong-xia;HUANG Yu;CAO Ling-qiang(Departmen of Thyroid and Breast Surgery,the Third People's Hospital of Henan Province,Zhengzhou 450000,Henan Province,China)

机构地区：[1]河南省直第三人民医院甲状腺乳腺胸外科,河南郑州450000

出　　处：《罕少疾病杂志》2024年第8期33-34,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的对比射频消融治疗、手术切除治疗甲状腺结节的临床应用效果。方法对2020年5月-2023年11月我院治疗的甲状腺结节82例患者行回顾性数据收集,依据治疗方式分为对照组40例(予手术切除治疗)和试验组42例(予射频消融治疗)。对比两组手术指标、甲状腺功能指标[游离三碘甲状腺原氨酸(Free Triiodothyronine,FT3)、促甲状腺激素(thyroid stimulating hormone,TSH)、游离四碘甲状腺原氨酸(Free Thyroxine,FT4)]及并发症发生率。结果试验组手术时间、住院时长、切口长度比对照组短,术中失血量比对照组少(P<0.05);治疗后,试验组FT3、FT4水平比对照组低,TSH水平比对照组高(P<0.05);试验组并发症总发生率(7.14%)比对照组并发症总发生率(22.50%)低(P<0.05)。结论相较于手术切除治疗,在甲状腺结节患者中使用射频消融治疗更佳,可改善患者甲状腺功能指标水平,降低并发症的发生。Objective To compare the clinical application of radiofrequency ablation therapy and surgical resection for the treatment of thyroid nodules.Methods A retrospective data collection was performed on 82 patients with thyroid nodules treated in our hospital from May 2020 to November 2023,and they were divided into 40 cases in the control group(treated with surgical resection)and 42 cases in the experimental group(treated with radiofrequency ablation)according to the treatment modality.The surgical indexes,thyroid function indexes[Free Triiodothyronine(FT3),thyroid stimulating hormone(TSH),Free Thyroxine(FT4)]and complication rates were compared between the two groups.Results The operation time,hospital stay and incision length of experimental group were shorter than those of control group,and the intraoperative blood loss was lower than that of control group(P<0.05);after the treatment,the FT3 and FT4 levels of the test group were lower than those of the control group,and the TSH level was higher than that of the control group(P<0.05);and the total complication rate of experimental group(7.14%)was lower than that of control group(22.50%)(P<0.05).Conclusion The use of radiofrequency ablation in patients with thyroid nodules is preferable to surgical resection,improving the level of the patient's thyroid function indicators and reducing complications.

关 键 词：射频消融术 手术切除术 甲状腺结节 临床应用 

分 类 号：R581[医药卫生—内分泌]