Does preoperative risk grading have clinical value for benign thyroid nodular ablation?.
10.12122/j.issn.1673-4254.2022.10.20
- Author:
Feng Lin WU
1
;
Qiao Zhi WU
2
;
Fang Jing WU
3
;
Lin ZHOU
1
;
Wen Wei XU
1
;
Guo Yong XIE
1
;
Le Rong LIU
1
;
Ying LIU
1
;
Yao Ming XUE
1
Author Information
1. Department of Endocrine and Metabolism, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
2. Department of Obstetrics and Gynecology, Third Affiliated Hospital, Southern Medical University, Guangzhou 510630, China.
3. School of Public Health, Southern Medical University, Guangzhou 510515, China.
- Publication Type:Journal Article
- Keywords:
complication;
microwave ablation;
risk grading;
thyroid nodules
- MeSH:
Humans;
Thyroid Nodule/epidemiology*;
Microwaves/therapeutic use*;
Catheter Ablation/methods*;
Treatment Outcome;
Retrospective Studies
- From:
Journal of Southern Medical University
2022;42(10):1578-1583
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the risk grading method for benign thyroid nodules before microwave ablation and the clinical significance of risk grading.
METHODS:This study was conducted among 527 patients undergoing ultrasound-guided microwave ablation of benign thyroid nodules between July, 2017 and December, 2020.Based on anatomic relationship of the thyroid nodules with the adjacent tissues, the ablation risk was classified into 4 levels: low, medium, high and extremely high risks.The incidence of severe complications and the rate of residual nodules following the ablation were recorded.
RESULTS:In the patients graded to have low, medium, high and extremely high preoperative risks, the incidences of severe complications following the ablation were 0%, 0.88%, 2.41% and 6.78%, respectively, showing no significant differences among the different risk groups (P > 0.05).The rates of postoperative residual nodules in the 4 risk groups were 1.59%, 6.14%, 14.43% and 71.19%, respectively, showing a significant difference between the low and medium risk groups and the high and extremely high risk groups (P < 0.001).
CONCLUSION:Preoperative risk grading for thyroid nodular ablation can be helpful for prevention of severe complications during ablation and prediction of residual nodules after ablation.
