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甲状腺结节可以采用射频消融治疗吗?

Can Thyroid Nodules be Managed with Radiofrequency Ablation?

机构信息

Department of Surgery, Tulane University School of Medicine, New Orleans, LA, USA.

Department of Surgery, Tulane University School of Medicine, New Orleans, LA, USA.

出版信息

Adv Surg. 2023 Sep;57(1):87-101. doi: 10.1016/j.yasu.2023.05.004. Epub 2023 Jun 28.

Abstract

Radiofrequency ablation (RFA) is an established and growing minimally-invasive technique with an impressive safety profile used to manage thyroid nodules. Beyond shorter operative and recovery times, the main advantages of RFA include the lack of an incisional scar as well as maximizing the potential for maintenance of normal thyroid function. RFA can significantly reduce nodular volume, achieving rates of 60% to 95% in a breadth of thyroid disease, including benign nodules, primary carcinomas, and recurrent malignancies. Thorough patient counselling is imperative for RFA candidates, including a discussant of complications, nodule regrowth, and the potential for a subsequent ablation session.

摘要

射频消融 (RFA) 是一种成熟且不断发展的微创技术,具有令人印象深刻的安全性,用于治疗甲状腺结节。除了手术时间和恢复时间更短外,RFA 的主要优点还包括无切口疤痕,以及最大限度地保留正常甲状腺功能的潜力。RFA 可以显著减少结节体积,在包括良性结节、原发性癌和复发性恶性肿瘤在内的广泛甲状腺疾病中,达到 60%至 95%的效果。彻底的患者咨询对于 RFA 候选者至关重要,包括讨论并发症、结节复发以及随后消融治疗的可能性。

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