Han Zhi-Yu, Dou Jian-Ping, Zheng Lin, Xu Min, Ren Jie, Wang Hui, Wang Shu-Rong, Zhan Wei-Wei, Zhou Jian-Qiao, Xu Shu-Hang, Cheng Wen, Lu Man, Xu Dong, Yu Jie, Jing Fei, Yu Ming-An, Yu Song-Yuan, Cheng Zhi-Gang, Peng Cheng-Zhong, Che Ying, Dai Wei-de, Zhou Zu-Bang, Yang Hong, Leng Xiao-Ping, Sun Li-Ping, He Guang-Bin, He Guang-Zhi, Cong Zhi-Bin, Li Qin-Ying, Zhao Qi-Yu, Nan Bai, Liu Cun, Guo Jia, Li Qian, Wei Qiang, Wang Gang, Huang Ying, Sun De-Sheng, Jiang Tian-An, Liang Ping
Department of Ultrasound Medicine, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Department of Ultrasound Medicine, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Int J Surg. 2025 Feb 1;111(2):1699-1710. doi: 10.1097/JS9.0000000000002209.
The Chinese guidelines for ultrasound-guided thermal ablation of thyroid nodules (2024 edition) were jointly initiated by the Ultrasound Committee of Chinese Medical Association, the Interventional Ultrasound Committee of Chinese Association of Ultrasound in Medicine and Engineering, the Ultrasonic Intervention Committee of Chinese Colleges of Interventionalists, and the Oncological Intervention Committee of Chinese Research Hospital Association; 37 multidisciplinary experts in interventional ultrasound, ultrasound medicine, endocrinology, and thyroid surgery participated in the compilation of this guide, which expanded the depth and breadth of the perspective and enhanced the authority of the guide. Based on the systematic review of literature related to ultrasound-guided thermal ablation of thyroid nodules and the professional opinions of experts, the guidelines define the indications and contraindications of thermal ablation, including pre-ablation evaluation and preparation, thermal ablation techniques and operational procedures, post-ablation follow-up, therapeutic effect evaluation, complication prevention and treatment, and the writing of medical documents for ablation. According to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE), a total of 17 objective and comprehensive recommendations were given. The publication and promotion of this guideline will play a positive role in promoting the standardization of ultrasound-guided thermal ablation of thyroid nodules.
《中国甲状腺结节超声引导下热消融治疗指南（2024年版）》由中华医学会超声医学分会、中国超声医学工程学会介入超声专业委员会、中国介入医师协会超声介入专业委员会、中国研究型医院学会肿瘤介入专业委员会联合发起；介入超声、超声医学、内分泌学及甲状腺外科等37位多学科专家参与了本指南的编撰，拓展了视角的深度和广度，增强了指南的权威性。本指南基于对甲状腺结节超声引导下热消融相关文献的系统评价及专家的专业意见，明确了热消融的适应证和禁忌证，涵盖消融前评估与准备、热消融技术及操作流程、消融后随访、治疗效果评估、并发症防治以及消融医疗文书书写等内容。依据推荐分级的评估、制定与评价（GRADE）标准，共给出17条客观全面的推荐意见。本指南的发布与推广将对推动甲状腺结节超声引导下热消融治疗的规范化起到积极作用。
