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高强度聚焦超声微创消融治疗毒性甲状腺结节。

Minimally invasive ablation of a toxic thyroid nodule by high-intensity focused ultrasound.

机构信息

ENT and Maxillo Surgery Unit, Paris, France.

出版信息

AJNR Am J Neuroradiol. 2010 Nov;31(10):1967-8. doi: 10.3174/ajnr.A1979. Epub 2010 Jan 14.

DOI:10.3174/ajnr.A1979
PMID:20075098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7964043/
Abstract

HIFU is used in the treatment of cancer (prostate, breast) and uterine fibroma but not yet in TNs. This case report describes the first successful ablation of a toxic TN with HIFU. TSH and radioiodine scan normalization were achieved without complications and maintained for 18 months. HIFU treatment is a minimally invasive technique that may be an effective safe alternative to radioiodine or surgery in patients with toxic TNs.

摘要

高强度聚焦超声(HIFU)用于治疗癌症(前列腺、乳腺)和子宫肌瘤,但尚未用于毒性甲状腺结节(TNs)。本病例报告描述了首例成功应用 HIFU 消融治疗毒性 TN。治疗后患者 TSH 和放射性碘扫描恢复正常,且未发生任何并发症,随访 18 个月仍维持该状态。HIFU 治疗是一种微创技术,对于毒性 TN 患者,它可能是放射性碘或手术治疗的有效替代方法,且安全可行。

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Thyroid. 2008 Jul;18(7):803-5. doi: 10.1089/thy.2007.0316.
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Radiofrequency ablation for an autonomously functioning thyroid nodule.自主功能性甲状腺结节的射频消融术。
Thyroid. 2008 Jun;18(6):675-6. doi: 10.1089/thy.2007.0274.
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Percutaneous ethanol injection of hyperfunctioning thyroid nodules: long-term follow-up in 125 patients.经皮乙醇注射治疗功能亢进性甲状腺结节:125例患者的长期随访
AJR Am J Roentgenol. 2008 Mar;190(3):800-8. doi: 10.2214/AJR.07.2668.
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