中国实用外科杂志2018，Vol.38Issue(1)：75-78,4.DOI:10.19538/j.cjps.issn1005-2208.2018.01.16
甲状腺疾病射频消融治疗现状与争议
The current situation and controversy of radiofrequency catheter ablation for thyroid diseases
摘要
Abstract
In recent years,ultrasound-guided radiofrequency ablation has been applied to benign thyroid nodules and unresectable recurrent thyroid cancer.However,radiofrequency ablation in thyroid disease remains controversial.Radiofrequency ablation operators should master the application indications on the basis of proficiency in basic skills of operation,neck anatomy and thyroid disease.Radiofrequency ablation is not recommended as a routine measure in the treatment of benign thyroid nodules and invasive treatment is not necessary for asymptomatic patients.Due to the lack of evidence of safety and effectiveness,radiofrequency ablation is not the initial treatment method for differentiated thyroid cancer.It can only be used as an alternative for patients with strong rejection of operation,severe illness and intolerance of operation.Whether thyroid nodules are benign or malignant,surgery should be the preferred treatment if there is an indication of surgery.Several domestic thyroid treatment centers have reported a number of cases with re-operation of residual thyroid cancer after radiofrequency ablation.For patients with thyroid cancer who underwent reoperation after ablation,surgical procedures may be partially referenced to the diagnosis and treatment strategies of patients with locally advanced thyroid cancer due to the increased surgical risk.It is recommended that experienced thyroid surgeons implement surgical procedures to reduce complications.关键词
甲状腺结节/射频消融/甲状腺癌Key words
thyroid nodules/radiofrequency ablation/thyroid cancer分类
医药卫生引用本文复制引用
田文,王宇,郗洪庆,马奔,王冰,魏文俊..甲状腺疾病射频消融治疗现状与争议[J].中国实用外科杂志,2018,38(1):75-78,4.基金项目
上海市科委西医引导项目(No.14411962402,16411966700) （No.14411962402,16411966700）
上海市卫计委面上项目(No.201640174) （No.201640174）
