本文關(guān)鍵詞： 甲狀腺結(jié)節(jié) 微波消融 并發(fā)癥 防治　出處：《微創(chuàng)醫(yī)學》2016年06期 　論文類型：期刊論文

【摘要】：目的探討超聲引導下微波消融治療甲狀腺結(jié)節(jié)的并發(fā)癥及其防治方法。方法微波消融治療甲狀腺結(jié)節(jié)2 200例,其中96例在治療中及治療后出現(xiàn)并發(fā)癥。本文分析并發(fā)癥發(fā)生的原因及防治方法。結(jié)果 96例患者術(shù)中均出現(xiàn)不同程度的疼痛,不能耐受疼痛者12例(0.55%),術(shù)后頭痛9例(0.41%),放射性牙痛4例(0.18%),出血5例(0.23%),迷走神經(jīng)反射10例(0.45%),支氣管痙攣5例(0.23%),20例(0.91%)出現(xiàn)咳嗽,75例(3.41%)術(shù)中出現(xiàn)高血壓(≥140/90 mm Hg),2例(0.09%)出現(xiàn)峽部皮膚壞死,術(shù)后1周峽部局部紅腫,術(shù)中即刻出現(xiàn)聲音低鈍2例(0.09%)。在治療初期12例(0.55%)出現(xiàn)輕、中度喉返神經(jīng)損傷,均經(jīng)對癥處理后恢復正常,無血管、氣管及食管損傷等并發(fā)癥發(fā)生。結(jié)論超聲引導下甲狀腺結(jié)節(jié)微波消融治療可能會發(fā)生疼痛、出血、支氣管痙攣、咳嗽、迷走神經(jīng)反射、喉返神經(jīng)甚至氣管、食管損傷等并發(fā)癥,仔細操作并隨著經(jīng)驗累積可有效降低并發(fā)癥發(fā)生。采用"低濃度低容量"麻醉法及"液體隔離帶"輔助法可有效避免頸部重要結(jié)構(gòu)受到熱損傷。
[Abstract]:Objective to investigate the complications and prevention of ultrasound guided microwave ablation for thyroid nodules. Methods 2 200 cases of thyroid nodules were treated by microwave ablation. Among them, 96 cases had complications during and after treatment. The causes and methods of prevention and treatment of complications were analyzed in this paper. Results all 96 cases had different degrees of pain during operation. There were 12 cases of pain tolerance, 9 cases of postoperative headache, 0.41% of postoperative headache, 4 cases of radiation toothache, 0.18% of radiation toothache, 5 cases of hemorrhage, 0.23%, 10 cases of vagus nerve reflex, 0.45% of vagus nerve reflex, 5 cases of bronchiospasm, 20 cases of 0.231,20 cases of bronchiospasm, 75 cases of cough, 75 cases of 3.41), and 2 cases of hypertension (鈮，

本文編號：1508036