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
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
张华丽 1卜杨 1赵洁1
作者信息
- 1. 郑州四六〇医院超声医学科,河南郑州 450007
- 折叠
摘要
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.
Abstract
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.
关键词
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Key words
Ultrasound-guided percutaneous thermal ablation/Endoscopic surgery/Thyroid nodules/Thyroid function/Safety引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据