局解手术学杂志2017，Vol.26Issue(11)：826-830,5.DOI:10.11659/jjssx.06E016040
微波消融术治疗甲状腺良性结节疗效观察与并发症处理
Effects and complication treatments of microwave ablation for benign thyroid nodules
周先利 1赵欢 1游婧怡 1涂静秋 1宋彩萍2
作者信息
- 1. 第三军医大学新桥医院内分泌科,重庆400037
- 2. 第三军医大学新桥医院护理部,重庆400037
- 折叠
摘要
Abstract
Objective To explore the effects and complication treatments of microwave ablation(MWA) for benign thyroid nodules.Methods The clinical data of 74 patients with benign thyroid nodules treated with MWA in our department from June 2014 to May 2015 were collected and studied retrospectively.Furthermore,the effects and complication treatments were analyzed and calculated.Results A total of 93 nodules were treated with MWA,of which 46 were the main nodules,cystic 47;7 nodules' ablation were not complete,the complete ablation rate was 92.47％.The postoperative reduction of volume in cystic nodules were significantly higher than solid nodules,and the number of solid nodules decreased more rapidly postoperation.The untreated cystic nodules developed a certain degree of growth after 6 months of surgery.After treatment,the TSH of solid nodules were obviously higher,the FT3 and FT4 were much lower than those before treatment and cystic nodules(P ＜ 0.05).A total of 17 cases of complications occurred in the positive symptomatic treatment,all cases were cured within a few days,there was no serious complications.Conclusion Microwave ablation has a high ablation rate in the treatment of thyroid benign nodules,the ablation effects are different between solid and cystic nodules;early and targeted measures can effectively prevent and deal with surgical complication.关键词
微波消融术/甲状腺良性结节/并发症/疗效Key words
microwave ablation/benign thyroid nodules/complication/effect分类
医药卫生引用本文复制引用
周先利,赵欢,游婧怡,涂静秋,宋彩萍..微波消融术治疗甲状腺良性结节疗效观察与并发症处理[J].局解手术学杂志,2017,26(11):826-830,5.
