[1]汪涛 李志民﹡ 陈文龙①.射频消融治疗甲状腺良性结节61例[J].中国微创外科杂志,2016,16(09):795-798.
　Wang Tao*,Li Zhimin*,Chen Wenlong..Radiofrequency Ablation for the Treatment of Thyroid Benign Nodules: a Report of 61 Cases[J].Chinese Journal of Minimally Invasive Surgery,2016,16(09):795-798.
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射频消融治疗甲状腺良性结节61例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
16
期数:
2016年09期
页码:
795-798
栏目:
临床研究
出版日期:
2016-09-09

文章信息/Info

Title:
Radiofrequency Ablation for the Treatment of Thyroid Benign Nodules: a Report of 61 Cases
作者:
汪涛 李志民﹡ 陈文龙①
（厦门大学附属第一医院杏林分院普外科，厦门361022）
Author(s):
Wang Tao*;  Li Zhimin*;  Chen Wenlong.
*Department of General Surgery, Xinglin Branch of First Affiliated Hospital of Xiamen University, Xiamen 361022, China
关键词:
甲状腺良性结节; 超声引导; 射频消融; 移动消融
Keywords:
Thyroid benign nodule; Ultrasoundguidance; Radiofrequency ablation; Moving shot technique
文献标志码:
A
摘要:
目的探讨超声引导下经皮射频消融治疗甲状腺良性结节的疗效。方法2013年2月~2014年5月对61例甲状腺良性结节（ 87枚结节）超声引导下应用单针单极式射频消融针（18G×7 cm，射频工作段长度1 cm）进行消融治疗，观察术后1、3、6、12个月结节大小变化，测量结节最大径、体积、体积减少率。结果61例均成功完成射频消融，其中3例1个月后行二次消融。无一例严重并发症发生，2例穿刺部位血肿，1例声音嘶哑， 3例治疗中疼痛不适，1例呕吐，均顺利恢复。消融前结节最大径（2.24±0.63）cm，消融后1、3、6、12个月结节最大径分别为（1.82±0.81）、（1.52±0.72）、（1.03±0.43）、（0.56±0.36）cm；消融前结节体积（5.37±1.85）ml，消融后1、3、6、12个月结节体积分别为（4.41±2.16）、（3.19±1.92）、（134±0.61）、（0.69±0.41）ml；消融后体积减少率分别（20.7±13.2）%、（48.6±16.1）%、（77.3±4.7）%、（88.7±5.6）%。消融后第12个月，51个结节（58.6%）完全消失。结论超声引导下射频消融治疗甲状腺良性结节效果确切。
Abstract:
ObjectiveTo evaluate therapeutic effects of radiofrequency ablation for thyroid benign nodules.MethodsBy using the radiofrequency electrode (18G×7 cm, working segment length=1 cm), a total of 61 patients with 87 thyroid benign nodules underwent ultrasoundguided radiofrequency ablation in our department from February 2013 to May 2014. The maximum diameter, volume, and volumereduction ratio (VRR) were measured by ultrasound at 1, 3, 6, and 12 months after operation.ResultsThe 61 patients with 87 thyroid benign nodules were successfully treated with radiofrequency ablation, including 3 cases receiving secondary ablation after 1 month. The maximum diameter of thyroid nodules was (2.24±0.63) cm preoperatively, and (1.82±0.81) cm, (152±0.72) cm, (1.03±0.43) cm, and (0.56±0.36) cm at 1, 3, 6, and 12 months after ablation, respectively. The maximun volume was (5.37±1.85) ml preoperatively, and (4.41±2.16) ml, (3.19±1.92) ml, (1.34±061) ml, and (0.69±0.41) ml at 1, 3, 6, and 12 months after ablation, respectively. The VRR were (20.7±13.2)%, (48.6±16.1)%, (77.3±4.7)% and (88.7±5.6)%, respectively at 1,3,6, and 12 months after ablation. At the final followup, 51 (58.6%) nodules disappeared completely.ConclusionUltrasound guided radiofrequency ablation for thyroid benign nodules is safe and effective.

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备注/Memo

备注/Memo:
﹡通讯作者，Email：lizhimin@sina.com①超声科
更新日期/Last Update: 2016-12-09