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经皮导管引流联合射频消融治疗混合性甲状腺结节的疗效分析

Effect analysis of percutaneous catheter drainage combined with radiofrequency ablation in the treatment of mixed thyroid nodules.

作者信息

Sun Wencong, Wang Yichen, Ding Chao, Wu Gang, Zhang Heng, Su Zijie, Li Guoqing

机构信息

Department of Thyroid Surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, Henan, China.

Department of Ultrasound, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, Henan, China.

出版信息

Front Endocrinol (Lausanne). 2025 Aug 27;16:1644215. doi: 10.3389/fendo.2025.1644215. eCollection 2025.

Abstract

OBJECTIVE

To compare the efficacy of ultrasound-guided percutaneous catheter drainage in the treatment of cystic thyroid mixed nodules.

METHODS

A total of 40 patients with cystic mixed thyroid nodules admitted to our hospital were randomly divided into the traditional ablation group (hereinafter referred to as the no-catheter ablation group) and the percutaneous catheter drainage ablation group (20 cases each). The postoperative efficacy of the two groups in the treatment of cystic benign mixed thyroid nodules was compared, including tumor size before and after treatment, treatment duration, pain, hoarseness and recurrence cases.

RESULTS

Compared with the traditional ablation group, the tumor size in the catheter drainage group was significantly reduced, the duration of treatment was shorter, the postoperative pain was lower, the number of hoarseness and tumor recurrence was less (<0.05).

CONCLUSION

For the treatment of cystic thyroid mixed nodules, percutaneous catheter drainage is more effective than traditional ablation, and the treatment effect is better, the treatment duration is shorter, the postoperative pain is lower, the hoarseness and tumor recurrence cases are less, which is safe and effective. Through clinical study, it is a new and effective treatment method for cystic thyroid mixed nodules, which is worth popularizing.

摘要

目的

比较超声引导下经皮导管引流术治疗甲状腺囊性混合性结节的疗效。

方法

将我院收治的40例甲状腺囊性混合性结节患者随机分为传统消融组(以下简称无导管消融组)和经皮导管引流消融组,每组各20例。比较两组治疗甲状腺囊性良性混合性结节的术后疗效,包括治疗前后肿瘤大小、治疗时间、疼痛情况、声音嘶哑情况及复发情况。

结果

与传统消融组相比,导管引流组肿瘤大小明显缩小,治疗时间缩短,术后疼痛减轻,声音嘶哑及肿瘤复发例数减少(P<0.05)。

结论

对于甲状腺囊性混合性结节的治疗,经皮导管引流术比传统消融术更有效,治疗效果更好,治疗时间更短,术后疼痛更轻,声音嘶哑及肿瘤复发例数更少,安全有效。通过临床研究,它是一种治疗甲状腺囊性混合性结节的新的有效治疗方法,值得推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0639/12420199/6de1a5b7fb24/fendo-16-1644215-g001.jpg

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