Zhonghua Nei Ke Za Zhi. 2025 Jul 1;64(7):614-624. doi: 10.3760/cma.j.cn112138-20250210-00076.
Thermal ablation has proven an effective treatment modality for certain thyroid diseases. However, its indications remain the subject of significant debate both domestically and internationally. Over recent years, several international academic organizations have issued consensus statements, position papers, and guidelines concerning thyroid thermal ablation. In China, the Chinese College of Interventionalists (CCI), in collaboration with other relevant academic organizations, released the "Expert consensus on thermal ablation for thyroid benign nodes, microcarcinoma and metastatic cervical lymph nodes (2018 edition)". This consensus statement received widespread recognition within the field and contributed significantly to the standardization of thyroid thermal ablation therapy in China. With the continuous accumulation of evidence-based medical data, the need for a more stringent and standardized approach to thyroid thermal ablation has become evident. Accordingly, the Interventional Ultrasound Committee of the CCI, in collaboration with multiple academic organizations and experts, conducted extensive discussions and multiple revisions before finalizing the "Multidisciplinary expert consensus on thermal ablation for benign thyroid diseases, low-risk thyroid carcinoma, and metastatic cervical lymph nodes (2025 edition)". This updated consensus builds on the framework of the 2018 edition, refining indications and contraindications, emphasizing standardized treatment, and outlining future directions for research and clinical applications of thyroid thermal ablation technology.
热消融已被证明是治疗某些甲状腺疾病的有效方法。然而,其适应证在国内外仍是激烈争论的话题。近年来,多个国际学术组织发布了关于甲状腺热消融的共识声明、立场文件和指南。在中国,中国介入医师协会(CCI)与其他相关学术组织合作,发布了《甲状腺良性结节、微小癌及颈部转移淋巴结热消融治疗专家共识(2018版)》。该共识声明在该领域得到了广泛认可,为中国甲状腺热消融治疗的规范化做出了重要贡献。随着循证医学数据的不断积累,对甲状腺热消融采取更严格、规范方法的需求日益明显。因此,CCI介入超声委员会与多个学术组织和专家合作,经过广泛讨论和多次修订,最终确定了《甲状腺良性疾病、低危甲状腺癌及颈部转移淋巴结热消融多学科专家共识(2025版)》。这份更新后的共识以2018版为框架,细化了适应证和禁忌证,强调规范化治疗,并概述了甲状腺热消融技术研究及临床应用的未来方向。