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超声引导下射频消融术治疗混合性甲状腺结节对患者术后应激及体积缩小率的影响

闵永华 朱玉 江辉

中国医学创新2025,Vol.22Issue(10):50-53,4.
中国医学创新2025,Vol.22Issue(10):50-53,4.DOI:10.3969/j.issn.1674-4985.2025.10.012

超声引导下射频消融术治疗混合性甲状腺结节对患者术后应激及体积缩小率的影响

Effect of Ultrasound-guided Radiofrequency Ablation on Postoperative Stress and Volume Reduction Rate of Patients with Mixed Thyroid Nodules

闵永华 1朱玉 2江辉3

作者信息

  • 1. 南昌市第五医院彩超室 江西 南昌 330000
  • 2. 南昌市第五医院超声科 江西 南昌 330000
  • 3. 南昌市第五医院甲状腺科 江西 南昌 330000
  • 折叠

摘要

Abstract

Objective:To explore the effect of ultrasound-guided radiofrequency ablation on postoperative stress and volume reduction rate of patients with mixed thyroid nodules.Method:A total of 100 patients with mixed thyroid nodules admitted to the Fifth Hospital of Nanchang from January 2022 to April 2023 were retrospectively selected and divided into ethanol ablation group(n=47)and radiofrequency ablation group(n=53)according to different microtraumatic treatment methods.The ethanol ablation group underwent ultrasound-guided anhydrous ethanol ablation,and the radiofrequency ablation group underwent ultrasound-guided radiofrequency ablation.The stress condition,nodules volume reduction rate and clinical efficacy of the two groups were compared.Result:Compared with ethanol ablation group,the levels of C reactive protein(CRP),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)1 d after surgery in radiofrequency ablation group were lower(P<0.05).Compared with ethanol ablation group,the nodules volume reduction rate in radiofrequency ablation group 1 month,3,6,9,12 months after surgery were higher(P<0.05).The total effective rate of radiofrequency ablation group was 92.45%,which was higher than 72.34%of ethanol ablation group(P<0.05).Conclusion:Ultrasound-guided radiofrequency ablation in the treatment of mixed thyroid nodules can effectively reduce the stress response of patients and reduce the nodules volume.

关键词

射频消融术/混合性甲状腺结节/术后应激/体积缩小率

Key words

Radiofrequency ablation/Mixed thyroid nodules/Postoperative stress/Volume reduction rate

引用本文复制引用

闵永华,朱玉,江辉..超声引导下射频消融术治疗混合性甲状腺结节对患者术后应激及体积缩小率的影响[J].中国医学创新,2025,22(10):50-53,4.

中国医学创新

1674-4985

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