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高强度聚焦超声治疗甲状腺良性结节的Meta分析

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目的 采用Meta分析评估高强度聚焦超声治疗甲状腺良性结节的有效性.方法 根据纳入与排除标准从数据库中筛选出自建库至2023年12月期间发表的高强度聚焦超声治疗良性甲状腺结节的研究文献,并使用Meta分析进一步分析其治疗效果.结果 在172篇研究文献中,筛选出10篇文章涉及利用高强度聚焦超声治疗甲状腺良性结节的研究,术后随访1个月VRR为20.33%(95%CI:10.71-29.96%,I2=0%,P<0.0001),随访3个月VRR为37.44%(95%CI:30.17-44.71%,I2=20%,P<0.0001),术后随访6个月VRR为41.42%(95%CI:34.13-48.71%,I2=52%,P<0.0001),.随访1年VRR为38.75%(95%CI:31.83-45.68%,I2=76%,P<0.0001),随访2年VRR为34.22%(95%CI:28.45-39.98%,I2=78%,P<0.0001).结论 高强度聚焦超声是治疗良性甲状腺结节的新的可行方法.
Meta analysis of high-intensity focused ultrasound treatment for benign thyroid nodules
Objective To evaluate the effectiveness of high-intensity focused ultrasound in the treatment of benign thyroid nodules using meta-analysis.Method According to the inclusion and exclusion criteria,research literature on the treatment of benign thyroid nodules using high-intensity focused ultrasound published between the establishment of the database and December 2023 was screened from the database,and its therapeutic effects were further analyzed using meta-analysis.Result Out of 172 research articles,10 articles were selected regarding the use of high-intensity focused ultrasound to treat benign thyroid nodules.The postoperative VRR was 20.33%(95%CI:10.71-29.96%,I2=0%,P<0.0001)at 1 month follow-up,37.44%(95%CI:30.17-44.71%,I2=20%,P<0.0001)at 3 months follow-up,and 41.42%(95%CI:34.13-48.71%,I2=52%,P<0.0001)at 6 months follow-up.The VRR at 1-year follow-up was 38.75%(95%CI:31.83-45.68%,I2=76%,P<0.0001),and at 2-year follow-up it was 34.22%(95%CI:28.45-39.98%,I2=78%,P<0.0001).Conclusion High intensity focused ultrasound is a new feasible method for treating benign thyroid nodules.

high-intensity focused ultrasoundbenign thyroid nodulesMeta-analysis

魏莉、孟宪杰

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新疆石河子市人民医院超声科,新疆石河子 832000

新疆石河子市人民医院病理科,新疆石河子 832000

高强度聚焦超声 甲状腺良性结节 Meta分析

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(8)