摘要
目的分析采用超声引导射频消融(RFA)治疗甲状腺结节的临床疗效。方法整群选取48例2013年7月—2014年4月进入该院接受甲状腺结节肿瘤治疗的患者,所有患者颈部皮肤及皮下组织切开1 mm,在结节中心部位射频针穿刺并开启射频,控制应用能量为4~6 W,中心温度95℃。结果所有患者均成功接受RFA手术,术中未产生明显并发症。观察患者术后6个月,结节的体积较治疗前不同程度缩小,差异有统计学意义(P<0.05),47.9%(23/48)患者结节消失,27.1%(13/48)患者结节与术前比较缩小超过50%,25.0%(13/48)患者结节与术前比较缩小了20%~50%。结论超声引导射频消融治疗甲状腺结节肿瘤具有明显的治疗效果,值得进一步研究及在临床上应用推广。
Objective To analyze the efficacy of Doppler ultrasound-guided radiofrequency ablation(RFA) in the treatment of nodular goiter. Methods 48 patients with nodular goiter who underwent tumor treatment in the hospital between July 2013 and April 2014 were included. An incision of 1 mm was made on the neck skin and subcutaneous tissue in all the patients. Radiofrequency needle were punctured into the nodule center and began to work, controlling a energy of 4~6 W and a center temperature of 95℃. Results The RFA was performed successfully on all the patients without obvious intraoperative complications. After 6months treatment, the nodules decreased in varying degree in all the patients, and compared with those before treatment,there were statistically significant differences. Nodules were found disappeared in 47.9%(23/48) patients, 27.1%(13/48) patients were noted with 50% nodule disappeared in size term, 25.0%(13/48) patients were found with 20% to 50% nodule disappeared in size term. Conclusion Doppler ultrasound-guided RFA is worthy of further promotion due to its good effect in treatment nodular goiter.
出处
《中外医疗》
2015年第27期169-170,共2页
China & Foreign Medical Treatment
关键词
甲状腺结节
超声引导
射频消融
Benign thyroid nodules
Ultrasound guidance
Radio frequency ablation
