射频消融治疗良性甲状腺结节相关出血的管理。
Management of bleeding associated with radiofrequency ablation of benign thyroid nodules.
机构信息
General Surgery Department, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Department of Medical Ultrasound, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
出版信息
J Int Med Res. 2020 Aug;48(8):300060520937526. doi: 10.1177/0300060520937526.
OBJECTIVE
This study was performed to explore the effective management of bleeding associated with radiofrequency ablation (RFA) of benign thyroid nodules.
METHODS
Thirty-five patients with benign thyroid nodules who were treated with ultrasound-guided RFA from July 2015 to December 2016 at the Third Affiliated Hospital of Sun Yat-sen University were retrospectively reviewed. The technique efficacy, bleeding, and other complications were assessed during the follow-up period.
RESULTS
The mean technique efficacy was 55.6%±22.8% at 1 month and 24.1%±17.1% at 6 months after the procedure. One case of an intranodular haematoma and two cases of voice change (>1 month) were observed. All patients recovered with corresponding treatment.
CONCLUSION
Although the incidence of haemorrhage is low, serious haematomas are life-threatening. Therefore, having a comprehensive understanding of the potential complications, an accurate clinical strategy, and adequate technical skills may prevent or help to properly manage these complications.
目的
本研究旨在探讨超声引导下射频消融（RFA）治疗良性甲状腺结节相关出血的有效管理方法。
方法
回顾性分析 2015 年 7 月至 2016 年 12 月中山大学附属第三医院收治的 35 例行超声引导 RFA 治疗的良性甲状腺结节患者。评估随访期间的技术疗效、出血及其他并发症情况。
结果
术后 1 个月和 6 个月的平均技术疗效分别为 55.6%±22.8%和 24.1%±17.1%。术后观察到 1 例结节内血肿和 2 例声音改变（>1 个月）。所有患者均经相应治疗后恢复。
结论
尽管出血发生率较低，但严重血肿可危及生命。因此，全面了解潜在并发症、制定准确的临床策略和具备充分的技术技能，可能有助于预防或妥善处理这些并发症。
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