發(fā)布時間：2018-06-17 09:51

  本文選題：超聲引導(dǎo) + 微波消融�。� 參考：《臨床耳鼻咽喉頭頸外科雜志》2015年07期

【摘要】：目的:探討超聲引導(dǎo)下微波消融(MWA)治療甲狀腺術(shù)后復(fù)發(fā)的甲狀腺結(jié)節(jié)的臨床效果。方法:對75例甲狀腺術(shù)后復(fù)發(fā)結(jié)節(jié)患者在局部麻醉下行超聲引導(dǎo)下MWA治療,術(shù)前均行穿刺活檢,經(jīng)穿刺口將微波消融針穿刺在結(jié)節(jié)的中心部位開啟消融,應(yīng)用能量為25~35 W,其中心溫度可達70~95℃。結(jié)果:患者均成功行MWA,術(shù)中部分患者有輕微不適,但無明顯并發(fā)癥發(fā)生。5例出現(xiàn)暫時性聲嘶,均在術(shù)后1~3周恢復(fù);2例出現(xiàn)飲水嗆咳,術(shù)后3~5d恢復(fù)正常。術(shù)后3、6個月超聲復(fù)查,全部患者甲狀腺結(jié)節(jié)血流消失,結(jié)節(jié)有不同程度的縮小,血清FT4、TSH結(jié)果無明顯改變。結(jié)論:超聲引導(dǎo)下MWA治療甲狀腺術(shù)后復(fù)發(fā)甲狀腺結(jié)節(jié)療效好,且微創(chuàng)優(yōu)勢明顯。
[Abstract]:Objective: to investigate the clinical effect of ultrasound guided microwave ablation (MWAs) on recurrent thyroid nodules after thyroid surgery. Methods: Seventy-five patients with recurrent thyroid nodules were treated with ultrasound guided MWA under local anesthesia. All patients underwent biopsy before operation. Microwave ablation needle puncture was performed at the center of the nodules through the puncture orifice. The applied energy is 25 ~ 35 W and the center temperature can reach 70 ~ 95 鈩，

本文編號：2030614