Clinical effect of ultrasound-guided microwave thermal ablation for treating benign thyroid nodules
10.3969/j.issn.1671-8348.2024.14.006
- VernacularTitle:超声引导下微波热消融治疗甲状腺良性结节的临床效果
- Author:
Chaonan LI
1
,
2
;
Jun LUO
;
Jidong CHEN
;
Guo ZHOU
;
Yuyan LIU
Author Information
1. 成都中医药大学医学与生命科学学院,成都 611137
2. 四川省医学科学院·四川省人民医院超声科,成都 610072
- Keywords:
ultrasound;
thermal ablation;
microwave;
benign thyroid nodules
- From:
Chongqing Medicine
2024;53(14):2110-2114
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness and safety of ultrasound-guided microwave ablation technique in the treatment of benign thyroid nodules.Methods A total of 3985 nodules in 2913 patients with pathologically confirmed benign thyroid nodules during 2016-2023 were analyzed retrospectively.The one-time ablation success rate,incidence rate of postoperative complications and side effects were evaluated.For 1890 ablation nodules in 1449 patients with a median follow-up period of 12 months,the nodule volume re-duction rate (VRR),recurrence rate,re-ablation rate and technical effective ablation rate were evaluated in postoperative 1,3,6,12,24 months and more.Results The success rate of one-time ablation in all patients was 99.7％ (3972/3985),the technical effective ablation rate was 88.6％ (535/604),the recurrence rate was 3.1％ (59/1890) and the re-ablation rate was 0.7％ (13/1890).In the follow-up nodules,VRR in postopera-tive 1,3,6,12,24 months and more was (-17±430)％ (n=727),(48±152)％ (n=643),(72±38)％ (n=573),(83±20)％ (n=604),(88±18)％ (n=279),respectively.In all patients,the incidence rate of major complications was 2.57％,the incidence rate of minor complications was 2.06％,and the incidence of side effects was 3.09％.Conclusion Ultrasound-guided microwave ablation of thyroid nodules is an effective and safe method for the treatment of benign thyroid nodules.
