超声引导下射频消融联合乙醇消融治疗囊实性甲状腺结节患者的效果  

Effects of ultrasound-guided radiofrequency ablation combined with ethanol ablation in treatment of patients with cystic solid thyroid nodules

作　　者：郝惠鹏 张占超 彭颖帼 HAO Huipeng;ZHANG Zhanchao;PENG Yingguo(Department of Ultrasound of Xuchang Central Hospital,Xuchang 461000 Henan,China;Ultrasound Department of Zhengzhou 460 Hospital,Zhengzhou 450052 Henan,China)

机构地区：[1]许昌市中心医院超声科,河南许昌461000 [2]郑州四六〇医院超声科,河南郑州450052

出　　处：《中国民康医学》2025年第6期19-21,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察超声引导下射频消融联合乙醇消融治疗囊实性甲状腺结节患者的效果。方法:选取2021年1月至2023年3月许昌市中心医院收治的90例囊实性甲状腺结节患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各45例。对照组实施超声引导下射频消融术治疗,观察组在对照组基础上联合乙醇消融术治疗。比较两组射频消融时间,消融能量,术后3、6、12个月结节缩小率,以及并发症发生率。结果:观察组射频消融时间短于对照组,消融能量低于对照组,差异均有统计学意义(P<0.05);术后3、6、12个月,观察组结节缩小率均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.44%(2/45),低于对照组的17.78%(8/45),差异有统计学意义(P<0.05)。结论:超声引导下射频消融联合乙醇消融治疗囊实性甲状腺结节患者,可缩短消融时间,降低消融能量和并发症发生率,提高结节缩小率,效果优于单纯超声引导下射频消融治疗。Objective:To observe effects of ultrasound-guided radiofrequency ablation combined with ethanol ablation in treatment of patients with cystic solid thyroid nodules.Methods:A prospective study was conducted on 90 patients with cystic solid thyroid nodules admitted to Xuchang Central Hospital from January 2021 to March 2023.According to the random number table method,they were divided into control group and observation group,45 cases in each.The control group was treated with ultrasound-guided radiofrequency ablation,while the observation group was treated with ethanol ablation on the basis of that of the control group.The radiofrequency ablation time and the ablation energy,the nodule reduction rate 3,6 and 12 months after the surgery,and the incidence of complications were compared between the two groups.Results:The radiofrequency ablation time of the observation group was shorter than that of the control group,the ablation energy was lower than that of the control group,and the differences were statistically significant(P<0.05).3,6 and 12 months after the surgery,the nodule reduction rates in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 4.44%(2/45),which was lower than 17.78%(8/45)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Ultrasound-guided radiofrequency ablation combined with ethanol ablation in the treatment of the patients with cystic solid thyroid nodules can shorten the ablation time,reduce the ablation energy and the incidence of complications,improve the nodule reduction rate.Moreover,it is superior to simple ultrasound-guided radiofrequency ablation.

关 键 词：囊实性甲状腺结节 良性 超声引导 射频消融术 乙醇消融术 消融时间 消融能量 

分 类 号：R653[医药卫生—外科学]