摘要
目的探究超声引导下微波消融治疗甲状腺结节的疗效以及影响其治疗疗效的相关因素。方法选取2019年1月至2020年1月在我院和联勤保障部队第988医院接受治疗的甲状腺结节患者60例,采用随机数表法分为观察组和对照组,各有30例患者。其中观察组患者采用超声引导下微波消融治疗,对照组患者采用传统手术治疗。观察两组的消除结节成功率、手术相关指标、并发症情况,以及采用单因素分析法分析影响手术疗效的相关因素。结果术后,观察组消除结节的成功率与对照组无明显差异(P>0.05);观察组的手术进行时、出血量、并发症总发生率均优于对照组(P<0.05);结节位置、结节类型是影响微波消融术治疗疗效的危险因子。结论超声引导下微波消融治疗甲状腺结节的治疗效果显著,且安全可靠,值得在临床治疗中推广,对于甲状腺结节长在危险区域和带有实质结节患者,需更加注意术后的护理,定期复查。
Objective To explore the curative effect of ultrasound-guided microwave ablation in the treatment of thyroid nodules and its relevant influencing factors.Methods Sixty patients with thyroid nodules treated in Zhengzhou People’s Hospital and No.988 Hospital of PLA from January 2019 to January 2020 were enrolled.They were divided into observation group and control group by random number table method,with 30 patients in each group.Patients in the observation group were treated with ultrasound-guided microwave ablation,and patients in the control group were treated with traditional surgery.The success rate of nodule removal,surgery-related indicators,and complications in the two groups were observed,and single-factor analysis was performed to screen related factors affecting the surgical effect.Results After surgery,there was no significant difference in the success rate of nodule removal between the two groups(P>0.05).The intraoperative blood loss and total incidence of complications in the observation group were better than those in the control group(P<0.05).The location and type of nodules were risk factors affecting the curative effect of microwave ablation.Conclusion Ultrasound-guided microwave ablation is effective in the treatment of thyroid nodules,and it is safe and reliable.For patients with thyroid nodules in dangerous areas and parenchymal nodules,more attention should be paid to postoperative care and regular reexamination.
作者
高白
姚胜银
白梦盏
王岩青
王嫦华
Gao Bai;Yao Sheng-yin;Bai Meng-zhan;Wang Yan-qing;Wang Chang-hua(Department of Ultrasound,Zhengzhou People's Hospital,Zhengzhou 450000,Henan Province,China;Department of Ultrasound,No.988 Hospital of PLA,Zhengzhou 450000,Henan Province,China)
出处
《罕少疾病杂志》
2021年第2期12-13,共2页
Journal of Rare and Uncommon Diseases
关键词
超声引导
微波消融治疗
甲状腺结节
影响因素
Ultrasound-guided
Microwave Ablation
Thyroid Nodule
Influencing Factor
