[术前风险分级对良性甲状腺结节消融术有临床价值吗？]
[Does preoperative risk grading have clinical value for benign thyroid nodular ablation?].
作者信息
Wu F, Wu Q, Wu F, Zhou L, Xu W, Xie G, Liu L, Liu Y, Xue Y
机构信息
Department of Endocrine and Metabolism, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Department of Obstetrics and Gynecology, Third Affiliated Hospital, Southern Medical University, Guangzhou 510630, China.
出版信息
Nan Fang Yi Ke Da Xue Xue Bao. 2022 Oct 20;42(10):1578-1583. doi: 10.12122/j.issn.1673-4254.2022.10.20.
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 ( > 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 ( < 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.
目的
探讨甲状腺良性结节微波消融术前风险分级方法及风险分级的临床意义。
方法
本研究对2017年7月至2020年12月期间527例行超声引导下甲状腺良性结节微波消融术的患者进行。根据甲状腺结节与相邻组织的解剖关系，将消融风险分为4级：低、中、高和极高风险。记录消融后严重并发症的发生率和残余结节率。
结果
术前风险分级为低、中、高和极高的患者，消融后严重并发症的发生率分别为0%、0.88%、2.41%和6.78%，不同风险组间差异无统计学意义（>0.05）。4个风险组术后残余结节率分别为1.59%、6.14%、14.43%和71.19%，低、中风险组与高、极高风险组之间差异有统计学意义（<0.001）。
结论
甲状腺结节消融术前风险分级有助于预防消融术中严重并发症及预测消融术后残余结节。
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