Treatment efficiency of thyroid benign nodules by ultrasound-guided radiofrequency ablation
10.3760/cma.j.issn.1673-4203.2019.12.006
- VernacularTitle: 超声引导经皮射频消融治疗甲状腺良性肿瘤疗效分析
- Author:
Junwei DU
1
;
Lijun FU
;
Zan JIAO
;
Hongting LI
;
Guoquan LI
;
Zhaoyang SHANG
;
Yujing KONG
;
Xinguang QIU
Author Information
1. Department of Thyroid Surgery, the First Affiliated Hospital of Zhengzhou University, International Joint Laboratory of Thyroid Thermal Ablation in Henan Province, Zhengzhou 450052, China
- Publication Type:Journal Article
- Keywords:
Retrospective studies;
Thyroid neoplasms;
Biopsy, needle;
Radiofrequency ablation;
Ultrasound guided
- From:
International Journal of Surgery
2019;46(12):814-818
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effectiveness and safety of ultrasound-guided radiofrequency ablation (RFA) in treatment of thyroid benign nodules.
Methods:We analyze 573 patients with thyroid benign nodules from June 2014 to September 2017 treated by RFA at Department Ⅱof Thyroid Surgery, the First Affiliated Hospital of Zhengzhou University. Among these patients, there were 75 males and 498 females, with a median age of 45 years old. All patients were diagnosed as thyroid benign nodules by ultrasound-guided fine needle aspiration biopsy before RFA. A total of 750 benign tumors were treated. To evaluate the thyroid function of the patients before RFA and 3 months after it, and to observe the changes of thyroid benign nodules by ultrasound at 3, 6, 12 months after RFA. The paired t-test was used to compare the measurement data with normal distribution, and Wilcoxon's signed rank test was used to compare the measurement data with non-normal distribution. To calculate the volume change and reduction rate of thyroid benign nodules.
Results:RFA was successfully completed in all patients, the volume reduction rate was 67%(48%, 83%) in the 3rd month after RFA, in the 6th month was 81%(67%, 91%), in the 12th month was 89%(80%, 95%). Eighteen patients felt pain during RFA, but the pain was alleviated after stopping ablation. Three patients′ tone decreased, but recovered in a week. Hoarseness occurred in 6 patients and recovered in 3 months. Three patients had neck hemorrhage, which was managed with simple compression of the neck.
Conclusions:RFA is an effective and safe treatment for thyroid benign nodules and has obvious advantages such as less invasiveness, having no influence in thyroid functions. It is clinically prospective for application.
