浙江医学2017，Vol.39Issue(11)：904-907,4.DOI:10.12056/j.issn.1006-2785.2017.39.11.2017-534
甲状腺微小乳头状癌经皮射频消融近期临床疗效观察
Short-term efficacy of percutaneous radiofrequency ablation in treatment of thyroid papillary microcarcinoma
摘要
Abstract
Objective To investigate the efficacy of percutaneous radiofrequency ablation in treatment of papillary thyroid microcarcinoma (PTMC).Methods Nineteen patients with PTMC diagnosed by fine needle aspiration were selected.The ultrasonography showed single lesions in all cases with the maximum section of 2.4mm × 3.0mm-8.0mm × 8.9mm and no metastatic lymph nodes.The ablation was guided by ultrasound,with a power of 35-45W and ablation time of 30-45s for a single lesion.The intraoperative and postoperative complications,size of the ablation site,recurrence and lymph node metastasis were documented.Results The procedures were successful and all 19 lesions were completely ablated.The complications,including intraoperative discomfort and postoperative local pain,occurred in 9 patients (47.4％).All lesions completely disappeared within 18 months after procedure.The average reduction rates of lesions were 11.2％,45.6％,63.1％,82.3％ at 1,3,6,and 12 months after ablation,respectively.During the 18-month follow-up,no recurrence and cervical lymph node metastasis were found.Conclusion The short-term efficacy of ultrasound-guided percutaneous radiofrequency ablation for PTMC is satisfactory with noninvasiveness,safety and no adverse cosmetic effect,the long-term efficacy need to be confirmed.关键词
甲状腺微小乳头状癌/热消融/射频消融/超声引导Key words
Papillary thyroid microcarcinoma/Thermal ablation/Radiofrequency ablation/Ultrasound guidance引用本文复制引用
黄斌,孙希希,荀运浩,刘德林,王利虹,孔梓详..甲状腺微小乳头状癌经皮射频消融近期临床疗效观察[J].浙江医学,2017,39(11):904-907,4.基金项目
浙江省医药卫生科技计划项目(2011KYA123) （2011KYA123）
