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经皮激光消融治疗良性和恶性甲状腺疾病。

Percutaneous laser ablation for benign and malignant thyroid diseases.

作者信息

Mauri Giovanni, Nicosia Luca, Della Vigna Paolo, Varano Gianluca Maria, Maiettini Daniele, Bonomo Guido, Giuliano Gioacchino, Orsi Franco, Solbiati Luigi, De Fiori Elvio, Papini Enrico, Pacella Claudio Maurizio, Sconfienza Luca Maria

机构信息

Department of Interventional Radiology, European Institute of Oncology, Milan, Italy.

Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy.

出版信息

Ultrasonography. 2019 Jan;38(1):25-36. doi: 10.14366/usg.18034. Epub 2018 Sep 17.

DOI:10.14366/usg.18034
PMID:30440161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6323312/
Abstract

Minimally invasive image-guided thermal ablation is becoming increasingly common as an alternative to surgery for the treatment of benign thyroid nodules. Among the various techniques for thermal ablation, laser ablation (LA) is the least invasive, using the smallest applicators available on the market and enabling extremely precise energy deposition. However, in some cases, multiple laser fibers must be used simultaneously for the treatment of large nodules. In this review, the LA technique is described, and its main clinical applications and results are discussed and illustrated.

摘要

作为治疗良性甲状腺结节的手术替代方法,微创图像引导热消融正变得越来越普遍。在各种热消融技术中,激光消融(LA)是侵入性最小的,它使用市场上最小的施源器,并能实现极其精确的能量沉积。然而,在某些情况下,必须同时使用多根激光光纤来治疗大的结节。在这篇综述中,描述了激光消融技术,并对其主要临床应用和结果进行了讨论和说明。

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本文引用的文献

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2017 Thyroid Radiofrequency Ablation Guideline: Korean Society of Thyroid Radiology.2017 年甲状腺射频消融治疗指南:韩国甲状腺放射学会。
Korean J Radiol. 2018 Jul-Aug;19(4):632-655. doi: 10.3348/kjr.2018.19.4.632. Epub 2018 Jun 14.
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Is there a role for minimally invasive thermal ablations in the treatment of autonomously functioning thyroid nodules?微创热消融在自主功能性甲状腺结节的治疗中是否有作用?
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Ultrasound-guided percutaneous laser ablation is safe and effective in the treatment of small renal tumors in patients at increased bleeding risk.
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Image-guided thermal ablation in autonomously functioning thyroid nodules. A retrospective multicenter three-year follow-up study from the Italian Minimally Invasive Treatment of the Thyroid (MITT) Group.影像引导下热消融治疗自主功能性甲状腺结节:意大利微创甲状腺治疗(MITT)组的一项回顾性多中心三年随访研究。
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Ultrasound-guided thermal ablation for cervical lymph node metastasis from thyroid carcinoma: a meta-analysis of clinical efficacy and safety.超声引导下热消融治疗甲状腺癌颈部淋巴结转移的临床疗效及安全性的荟萃分析。
Lasers Med Sci. 2022 Apr;37(3):1747-1754. doi: 10.1007/s10103-021-03428-5. Epub 2021 Oct 6.
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Comparison of Thermal Ablation and Surgery for Low-Risk Papillary Thyroid Microcarcinoma: A Systematic Review and Meta-Analysis.低危型甲状腺微小乳头状癌的热消融与手术治疗比较:系统评价和荟萃分析。
Korean J Radiol. 2021 Oct;22(10):1730-1741. doi: 10.3348/kjr.2020.1308.
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Thermal Ablation of Benign Thyroid Nodules and Papillary Thyroid Microcarcinoma.良性甲状腺结节和甲状腺微小乳头状癌的热消融
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超声引导经皮激光消融治疗高出血风险患者小肾肿瘤安全有效。
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Percutaneous Laser Ablation of Unifocal Papillary Thyroid Microcarcinoma: Utility of Conventional Ultrasound and Contrast-Enhanced Ultrasound in Assessing Local Therapeutic Response.经皮激光消融治疗单灶性甲状腺微小乳头状癌:传统超声和超声造影在评估局部治疗反应中的应用
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