超声引导下不同性状甲状腺结节激光消融治疗疗效分析
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- 论文作者：李献亮 ; 杨永利 ; 任志学 ; 庞凌峰 ; 李义红
- 年：2016
- 作者机构：河北省第七人民医院;
- 论文关键词：超声引导下激光消融术 ; 甲状腺结节患者 ; 临床疗效
- 英文论文关键词：ultrasound guided laser ablation ; Patients with thyroid nodules ; Clinical curative effect
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R445.1;R581
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：1
- 文件大小：2015k
- 原文格式：D
- 会议级别：全国
摘要
目的:探讨超声引导下不同性状甲状腺结节激光消融治疗疗效。方法:选取2014年1月至2015年1月我院收治的52例甲状腺结节患者作为研究对象,其中甲状腺实性、囊性及囊实性这三种类型的结节个数分别有30个、10个、120个,均采用激光消融治疗方法进行治疗,随访6个月,观察治疗的效果。结果:经过治疗之后,治疗总有效率为98.1%,不同性状的甲状腺结节都取得了明显的效果,所有治疗结节治疗后血流信号消失,结节的体积缩小及或消失,并且没有出现严重的并发症。甲状腺囊性结节患者治疗的效果最好,和治疗之前相比,结节的体积缩小及或消失的最快,缩小及或消失比例最高P<0.05,有统计学意义。结论:超声引导下激光消融术治疗三种性状甲状腺结节疗效确切,创伤小,而且囊性结节疗效最为显著,值得在临床上进行推广和应用,可以作为一种首选方法。
objective: to study the ultrasound guided by different traits thyroid nodule laser ablation curative effect. Selection methods: between January 2014 and January 2015, our hospitalof 52 patients with thyroid nodule as the research object, including solid and cystic and solid cystic thyroid respectively the three types of nodule number 30, 10, 120, adopt laser ablation method fortreatment, were followed up for 6 months, observe the effect of the treatment. Results: after treatment, after treatment the total effective rate was 98.1%, the different characteristics of thyroid noduleshave achieved obvious effect, all nodules disappeared blood flow signal after treatment, the volume of a nodule narrowing and/or disappeared, and no severe complications. Cystic thyroid nodules inpatients with best treatment effect, compared with before treatment, the volume of a nodule shrink and disappear or the fastest, the highest percentage of narrow and disappear or P < 0.05, with statisticalsignificance. Conclusion: ultrasound guided laser ablation treatment curative effect is three traits of thyroid nodules, small trauma, and cystic nodules most notable curative effect, and is worthpopularizing in clinical application, can be used as a method of first choice.
objective: to study the ultrasound guided by different traits thyroid nodule laser ablation curative effect. Selection methods: between January 2014 and January 2015, our hospitalof 52 patients with thyroid nodule as the research object, including solid and cystic and solid cystic thyroid respectively the three types of nodule number 30, 10, 120, adopt laser ablation method fortreatment, were followed up for 6 months, observe the effect of the treatment. Results: after treatment, after treatment the total effective rate was 98.1%, the different characteristics of thyroid noduleshave achieved obvious effect, all nodules disappeared blood flow signal after treatment, the volume of a nodule narrowing and/or disappeared, and no severe complications. Cystic thyroid nodules inpatients with best treatment effect, compared with before treatment, the volume of a nodule shrink and disappear or the fastest, the highest percentage of narrow and disappear or P < 0.05, with statisticalsignificance. Conclusion: ultrasound guided laser ablation treatment curative effect is three traits of thyroid nodules, small trauma, and cystic nodules most notable curative effect, and is worthpopularizing in clinical application, can be used as a method of first choice.
引文
[1]岳雯雯,王淑荣.超声造影在甲状腺结节射频消融治疗中的应用[J].中华医学超声杂志(电子版),2012,09(5):396-398.
[2]包薇萍,吴阳,刘超等.甲状腺疾病的治疗进展[J].药品评价,2012,09(13):14-18.
[3]詹维伟.甲状腺结节的超声诊断进展[J].中华医学超声杂志(电子版),2011,08(6):1170-1179.
[4]范梅花,毛平芬,黄品同等.超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节的疗效[J].中国临床医学影像杂志,2015,26(4):247-250.
[5]刁畅,程若川.消融治疗在甲状腺结节治疗中的误区与思考[J].医学与哲学,2015,36(20):16-21.
[2]包薇萍,吴阳,刘超等.甲状腺疾病的治疗进展[J].药品评价,2012,09(13):14-18.
[3]詹维伟.甲状腺结节的超声诊断进展[J].中华医学超声杂志(电子版),2011,08(6):1170-1179.
[4]范梅花,毛平芬,黄品同等.超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节的疗效[J].中国临床医学影像杂志,2015,26(4):247-250.
[5]刁畅,程若川.消融治疗在甲状腺结节治疗中的误区与思考[J].医学与哲学,2015,36(20):16-21.