Evaluation of the efficacy of ultrasound-guided radiofrequency ablation in the treatment of papillary thyroid microcarcinoma
10.3760/cma.j.cn115455-20230607-00619
- VernacularTitle:超声引导下射频消融治疗甲状腺微小乳头状癌的疗效评估
- Author:
Huabin CHEN
1
;
Fuqiang ZENG
;
Bin ZOU
;
Yongping LIN
;
Lusheng ZHANG
Author Information
1. 中山市中医院（广州中医药大学附属中山中医院）超声科，中山 528400
- Keywords:
Thyroid neoplasms;
Ultrasonography;
Radiofrequency ablation;
Treatment outcome
- From:
Chinese Journal of Postgraduates of Medicine
2023;46(12):1108-1111
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical efficacy of ultrasound-guided radiofrequency ablation therapy for patients with papillary thyroid microcarcinoma (PTMC).Methods:A retrospective analysis was conducted on the clinical data of 80 PTMC patients admitted to Zhongshan Hospital of Traditional Chinese Medicine(Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese Medicine) from January 2018 to September 2020. All cases were divided into two groups according to different treatment methods, with 40 cases in each group. The control group received PTMC radical surgery, while the observation group received ultrasound guided radiofrequency ablation. The situation of new tumors and cervical lymph node metastasis in both groups was observed through follow-up, the relative indexes of operation and safety of the two groups were compared.Results:There was no significant difference in the incidence of situation of new tumors and cervical lymph node metastasis between the two groups ( P>0.05). The operation time, intraoperative blood loss and hospital stay in the observation group were less than those in the control group: (20.23 ± 5.07) min vs. (54.51 ± 12.13) min, (1.68 ± 0.28) ml vs.(13.68 ± 2.31) ml, (1.82 ± 0.32) d vs. (5.43 ± 0.57) d, there were statistical differences ( P<0.05). The incidence of complications in the observation group was lower than that in the control group: 5.00%(2/40) vs. 25.00%(10/40), there was statistical difference ( P<0.05). Conclusions:Ultrasound guided radiofrequency ablation for the treatment of PTMC is safe and effective, minimally invasive in beauty, and can effectively reduce the incidence of complications.
