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目的观察射频消融技术治疗甲状腺结节的临床效果。方法选择2015年5月—2016年7月收治的甲状腺结节患者82例(94个病灶),均行超声引导下射频消融治疗。术后随访3、6个月,统计不同性质结节的疗效;复查超声,观察结节血流现象、甲状腺高回声影消失情况;对比手术前后甲状腺功能指标(FT3、FT4、TSH)水平。计量资料比较采用t检验,P<0.05为差异有统计学意义。结果 82例患者均顺利完成手术。术中未发生甲状旁腺功能性并发症。术后3个月59.7%的患者结节完全吸收,术后6个月79.3%的患者结节完全吸收。术后3个月,患者FT3、FT4、TSH与术前比较差异无统计学意义(均P>0.05)。结论射频消融技术治疗甲状腺结节效果良好,安全性高、并发症少,操作相对简单。
Objective To observe the clinical effect of radiofrequency ablation in the treatment of thyroid nodules. Methods 82 patients (94 lesions) with thyroid nodules who were treated in our hospital from May 2015 to July 2016 were treated with radiofrequency catheter ablation under ultrasound guidance. Thirty-six months after operation, the curative effect of nodules of different natures were counted. The ultrasound examination was performed to observe the nodular blood flow phenomenon and the disappearance of thyroid hyperechogenic shadow. The levels of thyroid function index (FT3, FT4, TSH) before and after surgery were compared. Measurement data were compared using t test, P <0.05 for the difference was statistically significant. Results 82 patients completed the operation successfully. Intraoperative parathyroid complications did not occur. Nodules were completely absorbed in 59.7% of the patients 3 months after operation, and nodules were completely absorbed in 79.3% of patients 6 months after operation. There was no significant difference in FT3, FT4, TSH between preoperative and postoperative 3 months (all P> 0.05). Conclusion The radiofrequency ablation technique has good effect on thyroid nodules, high safety, few complications and relatively simple operation.