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激光诱导间质热疗治疗甲状腺实性结节

[Lazer-inducted interstitial thermotherapy in the treatment of solid nodulus of thyroid].

作者信息

Shidlovs'kyĭ O V, Karel O I

出版信息

Klin Khir. 2012 Jul(7):12-5.

Abstract

The results of treatment 272 patients with a nodular colloid goiter with the use of lazerinducted termotherapy (LITT) are analysed. I is established that in the developed modes of LITT application does not cause destructive changes in paranodular tissue and disorders of thyroid gland hormonal function. Duration of reverse development and substituting of nodular for a connecting tissue is determined by echogene and volume. With it increase the intensity of nodulus substituting for a connecting tissue goes down, extended the terms of nodulus regress. The indication to the repeated application of termotherapy is remaining tissue in the projections of nodulus scope from 42% and more an initial volume through 6 ms treatment. Absolute indications to repeated LITT is a presence of thyroid epithelium in remaining tissue of nodulus.

摘要

分析了272例结节性胶样甲状腺肿患者使用激光诱导热疗(LITT)的治疗结果。确定在LITT应用的既定模式下,不会引起结节旁组织的破坏性变化和甲状腺激素功能紊乱。回声基因和体积决定了逆向发展的持续时间以及结节被结缔组织替代的情况。随着结节被结缔组织替代的强度降低,结节消退的时间延长。热疗重复应用的指征是在经过6毫秒治疗后,结节范围投影中残留组织占初始体积的42%及以上。重复LITT的绝对指征是结节残留组织中存在甲状腺上皮。

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