广西医学2018，Vol.40Issue(6)：609-612,4.DOI:10.11675/j.issn.0253-4304.2018.06.01
超声造影在激光消融治疗甲状腺结节中的应用效果
Efficacy of contrast-enhanced ultrasonography applied to laser ablation for thyroid nodules
摘要
Abstract
Objective To investigate the efficacy of contrast-enhanced ultrasonography applied to laser ablation for thyroid nodules. Methods Ninety-four patients with thyroid nodules were randomly divided into observation group and control group,with 47 cases in each group.Contrast-enhanced ultrasoography-guided laser ablation and conventional laser ablation were conducted in the observation group and control group respectively.The rate of complete ablation,regression rates of nodules at 3 and 6 months after operation,incidence of complications at 6 months after operation,serum free triiodothyronine(FT3) and free thyroxine(FT4) levels were compared between the two groups. Results Ablation was completed in all cases.The rate of complete ablation,regression rates of nodules at 3 and 6 months after operation in the observation group were higher than those in the control group(P <0.05). At postoperative 6 month,the total incidence rate of complications,including laryngeal nerve injury,hoarseness and neck pain,in the observation group was lower than that in the control group (P<0.05).At postoperative 6 month,the FT3and FT4levels in the control group were significantly lower than the preoperative levels (P<0.05),but no significant difference was observed between the preoperative and postoperative levels in the observation group(P>0.05). Conclusion Contrast-enhanced ultrasonography can achieve real-time monitoring,improve the therapeutic efficacy of laser ablation for thyroid nodules and the regression rate of nodules,has little effect on thyroid function,and can also reduce the incidence of complications.关键词
甲状腺结节/超声造影/激光消融/疗效Key words
Thyroid nodules/Contrast-enhanced ultrasonography/Laser ablation/Efficacy分类
医药卫生引用本文复制引用
胡健,胡万宁,刘景萍,张秀芳,马金秋..超声造影在激光消融治疗甲状腺结节中的应用效果[J].广西医学,2018,40(6):609-612,4.基金项目
河北省医学科学研究重点课题计划项目(20171296) （20171296）
