摘要
目的观察微波消融术(MWA)治疗甲状腺良性结节的疗效及其并发症的处理。方法对2014年6月至2015年5月在我科接受MWA治疗甲状腺良性结节的74例患者的病历资料进行回顾分析,并对其疗效与并发症处理进行归纳总结。结果共对93个结节行MWA治疗,其中结节实性为主46个,囊性为主47个;共有7个结节消融不全,完全消融率92.47%。术后囊性结节体积的下降程度显著高于实性结节,而术后实性结节数目下降较为迅速。未被消融的囊性结节在手术6个月后体积出现了一定程度的增长。治疗后,实性结节为主患者的TSH高于治疗前和囊性结节为主的患者,FT3和FT4低于治疗前和囊性结节为主患者(P<0.05)。共发生并发症17例,经积极对症处理均在数天内治愈,无严重并发症发生。结论应用微波消融治疗甲状腺良性结节具有较高的消融率,实性和囊性结节的消融效果存在差异;早期采用针对性的措施可以有效预防和处理手术并发症。
Objective To explore the effects and complication treatments of microwave ablation（ MWA） for benign thyroid nodules.MethodsThe 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.ResultsA 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.ConclusionMicrowave 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.
作者
周先利
赵欢
游婧怡
涂静秋
宋彩萍
ZHOU Xian-li;ZHAO Huan;YOU Jing-y i;TU Jing-qiu;SONG Cai-ping(Department of Endocrinology, Xinqiao Hospi-tal,Third Military Medical University,Chongqing 400037,China;Department of Nursing,Xinqiao Hospital,Third Military Medical Universi- ty,Chongqing 400037, Chin)
出处
《局解手术学杂志》
2017年第11期826-830,共5页
Journal of Regional Anatomy and Operative Surgery
关键词
微波消融术
甲状腺良性结节
并发症
疗效
microwave ablation
benign thyroid nodules
complication
effect
