摘要
目的:旨在探讨影响序贯消融对良性甲状腺囊实性结节疗效的相关因素,并分析该治疗方法术后并发症的发生原因.方法:回顾性分析 329 个接受序贯消融治疗的良性甲状腺囊实性结节.探究结节囊实性分类、囊液性质类型、术前症状评分及结节囊性部分有无分隔等对序贯消融治疗良性甲状腺囊实性结节疗效的组间差异,并分析各组间的独立影响因素.结果:结节囊实性分类、囊液性质类型等在不同疗效组间具有统计学差异;囊液性质类型是影响序贯消融良性甲状腺囊实性结节有效与否的独立影响因素;结节囊实性分类及结节囊性部分有无分隔是影响序贯消融良性甲状腺囊实性结节治疗有效者治愈与否的独立影响因素.结论:序贯消融对甲状腺囊实性结节疗效受到结节囊实性分类、囊液性质类型及囊性部分有无分隔的影响.
Abstract
Objective:To explore the relevant factors that affect the efficacy of sequential ablation in treating benign thy-roid cystic and solid mixed nodules,and to analyze the causes of postoperative complications.Methods:Retrospective analysis of 329 benign thyroid cystic and solid mixed nodules treated with sequential ablation.Exploring the inter group differences in the efficacy of sequential ablation treatment for benign thyroid cystic solid nodules,including classification of nodule cystic solid types,properties of cystic fluid,preoperative symptom scores,and the presence or absence of septation in the nodule cystic part,and analyzing independent influencing factors among each group.Results:There are statistical differences in the classification and nature types of nodular cystic solidity and the properties of cystic fluid among different therapeutic groups,the properties of cystic fluid is an independent influencing factor on the effectiveness of sequential ablation of benign thyroid cystic solid nodules,the classification of cystic and solid nodules and the presence or absence of septation in the cystic part of the nodules are independent factors that affect the effectiveness of sequential ablation for the treatment of benign thyroid cystic and solid nodules.Conclusion:The efficacy of sequential ablation for benign thyroid cystic and solid mixed nodules is influenced by the nodule types,properties of cystic fluid and the separation in the cystic part.
基金项目
北京市首都卫生发展科研专项(2022-1-2022)