首页|超声引导下经皮热消融与腔镜手术治疗甲状腺结节对甲状腺功能的影响及安全性比较

超声引导下经皮热消融与腔镜手术治疗甲状腺结节对甲状腺功能的影响及安全性比较

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目的 探讨超声引导下经皮热消融与腔镜手术治疗甲状腺结节对甲状腺功能的影响及安全性.方法 选择 2020 年 4月至 2023 年 4 月我院收治的 60 例甲状腺结节患者随机分为对照组(腔镜手术)与观察组(超声引导下经皮热消融术).比较两组的手术效果、甲状腺功能、术后并发症发生率.结果 两组的治疗总有效率比较差异无统计学意义(P>0.05).术后 3 个月,观察组TSH高于对照组,FT3、FT4 低于对照组(P<0.05).观察组术后并发症发生率为 0.00%,低于对照组的 13.33%(P<0.05).结论 超声引导下经皮热消融与腔镜手术治疗甲状腺结节均能取得较好的手术效果,但前者对患者甲状腺功能改善程度更加显著,安全性更高.
Comparison on the Impact on Thyroid Fu nction and Safety of Ultrasound-Guided Percutaneous Thermal Ablation and Endoscopic Surgery in the Treatment of Thyroid Nodules
Objective To explore the impact on thyroid function and safety of ultrasound-guided percutaneous thermal ablation and endoscopic surgery in the treatment of thyroid nodules.Methods 60 patients with thyroid nodules admitted to our hospital from April 2020 to April 2023 were randomly divided into control group(endoscopic surgery)and observation group(ultrasound-guided percutaneous thermal ablation).The surgical effect,thyroid function and incidence of postoperative complications were compared between the two groups.Results No statistical difference was found in the total effective rate of treatment between the two groups(P>0.05).3 months after surgery,the TSH of the observation group was higher than that of the control group,and the FT3 and FT4 were lower than those of the control group(P<0.05).The incidence of postoperative complications in the observation group was 0.00%,lower than 13.33%in the control group(P<0.05).Conclusions Both ultrasound-guided percutaneous thermal ablation and endoscopic surgery can achieve better surgical effect in the treatment of thyroid nodules.However,the former has more significant improvement in thyroid function with higher safety.

Ultrasound-guided percutaneous thermal ablationEndoscopic surgeryThyroid nodulesThyroid functionSafety

张华丽、卜杨、赵洁

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郑州四六〇医院超声医学科,河南郑州 450007

超声引导下经皮热消融术 腔镜手术 甲状腺结节 甲状腺功能 安全性

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(1)
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