热消融技术治疗甲状腺微小乳头状癌的研究进展  

Research progress of thermal ablation in the treatment of thyroid micropapillary carcinoma

作　　者：刘津[1] 王小平[1] 瞿琳娣 王群[1] 高瑛[1] 顾渊[1] 贡翊斐 李涛[1] 唐晓丹[1] 石坤和[1] LIU Jin;WANG Xiaoping;QU Lindi;WANG Qun;GAO Ying;GU Yuan;GONG Yifei;LI Tao;TANG Xiaodan;SHI Kunhe(DepartmentⅢof Surgery,Shanghai municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海中医药大学附属市中医医院外三科,上海200071

出　　处：《西安交通大学学报（医学版）》2024年第6期1041-1046,共6页Journal of Xi’an Jiaotong University（Medical Sciences）

基　　金：国家中医药管理局科研项目(No.2018ZY03005);上海市科学技术委员会项目(No.17401933);上海市中医医院“未来计划”项目(No.WLJH2021ZYMZY009)。

摘　　要：甲状腺癌是最常见的头颈部恶性肿瘤,其中以甲状腺乳头状癌最常见,直径≤1.0 cm的甲状腺乳头状癌称为甲状腺微小乳头状癌。近年来热消融技术治疗甲状腺微小乳头状癌在国内外迅速发展,有较好的临床疗效和安全性。目前国内外发布了较多与甲状腺微小乳头状癌热消融治疗相关的指南、共识和临床研究,但关于热消融治疗甲状腺微小乳头状癌的适应证在不同指南中存在差异,其中低危微小甲状腺乳头状癌是目前多数指南推荐的甲状腺热消融技术的适应证,但低危微小甲状腺乳头状癌的定义仍有争议。本文基于现有文献、指南、临床研究,总结甲状腺癌热消融治疗的优势、适应证、疗效、安全性、消融后的中医药治疗以及存在的问题,并进行概述、探讨和分析。Thyroid cancer is the most common malignant tumor of the head and neck,among which papillary thyroid carcinoma is the most common.Papillary thyroid carcinoma with a diameter of≤1.0 cm is called thyroid micropapillary carcinoma.In recent years,thermal ablation technology for the treatment of thyroid micropapillary carcinoma has developed rapidly at home and abroad.At present,many guidelines,consensus and clinical studies related to thermal ablation treatment of thyroid micropapillary carcinoma have been published at home and abroad.Based on the existing literature,guidelines and clinical studies,this article summarizes,discusses and analyzes the advantages,indications,efficacy,safety,and existing problems of thermal ablation therapy for thyroid cancer.

关 键 词：甲状腺微小乳头状癌 热消融技术 临床研究 

分 类 号：R454[医药卫生—治疗学] R615[医药卫生—临床医学]