Application of isolation fluid injection in preventing complications of radio frequency ablation for thyroid nodules
Objective To investigate the clinical effect of isolation fluid injection in preventing the complications of radio frequency ablation (RFA) of thyroid nodules.Methods A retrospective study was conducted on 78 patients with thyroid nodules ( 17 males and 61 females) who received ultrasound-guided RFA from September 2022 to March 2024,with an aver-age age of (37.8±1.63) years,including 51 cases of nodular goiter and 27 cases of thyroid micropapillary carcinoma.Dur-ing operation,all patients were injected into thyroid capsule and recurrent laryngeal nerve,carotid artery or trachea,esophagus and parathyroid space near nodal areas.Postoperative observation was made for hoarseness and hypocalcemia,and the changes of parathyroid hormone and blood calcium were recorded.Results All the 78 patients successfully completed the ultrasound-guided RFA of thyroid nodules,and total operation time was (29.3±6.7) min.Postoperative complications such as intraoperative hematoma,hypocalcemia,hoarseness and other complications occurred in none of the patients,and the changes of parathyroid hormone and blood calcium were not significantly different compared with those before surgery ( P>0.05).Conclusion Isolation fluid injection can effectively prevent recurrent laryngeal nerve and tracheal and esophageal burns during the RFA of thyroid nodules.
radio frequency ablation (RFA)thyroid nodulecomplicationsurgical safety
万方数据
维普
