目的：探讨超声引导下微波消融术治疗甲状腺良性结节的临床疗效与安全性。方法：对我院介入超声科收治的36例甲状腺患者的53个良性结节，采用超声引导下微波消融治疗，并分别于术前及术后1、3、6、12月行超声检查以评价局部疗效及安全性。结果：36例患者在超声引导下均顺利注入隔离液并成功实行微波消融，术后即刻超声造影显示一次性完全消融率约为90.6%（48/53）。所有病例均未发生严重并发症。不同性质结节的体积均随时间延长逐渐缩小，且囊实混合性结节的缩小率明显优于完全实性结节，缩小速度更快，于术后3月缩小率达到了71.25%。结论：超声引导下微波消融治疗甲状腺良性结节是一种安全有效的方法，值得临床广泛推广。
Abstract
Objective: To explore the clinical efficacy and safety of ultrasound-guided microwave ablation in the treatment of benign thyroid nodules. Methods: Thirty-six patients with 53 benign thyroid nodules were treated by ultrasound-guided microwave ablation. Ultrasonography was performed before operation, 1, 3, 6 and 12 months after operation to evaluate the local efficacy and safety. Results: Thirty-six patients were successfully injected with isolated fluid under ultrasound-guided and successfully performed microwave ablation. Immediately contrast-enhanced after treatment, the total ablation rate was about 90.6%(48/53). None of the cases had serious complications. All nodules were shrinking with the extension of time, the volume shrinkage rate of mixed cystic and solid nodules was significantly better than that of complete solid nodules, and the shrinkage rate was faster, reaching 71.25% at 3 months after operation. Conclusion: Ultrasound-guided microwave ablation of benign thyroid nodules is a safe and effective treatment method, which is worthy of wide clinical promotion.
关键词
甲状腺结节 /
超声检查 /
介入性
Key words
Thyroid nodule /
Ultrasonography, interventional
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