摘要
目的:探讨超声引导下聚桂醇与射频消融治疗囊性为主甲状腺结节的有效性。方法:选取2015年2月—2018年5月上海中医药大学附属曙光医院收治的囊性为主甲状腺结节患者76例,依据治疗方法不同,分为聚桂醇组(N=51)和射频组(N=25)。术后观测两组患者的临床疗效及不良反应发生率。结果:术后12个月射频组总有效率为100.00%(25/25),高于聚桂醇组总有效率[84.31%(43/51)],差异有统计学意义(P<0.05);聚桂醇组不良反应率为13.73%(7/51),射频组不良反应率为16.00%(4/25),两组不良反应率差异无统计学意义(P>0.05)。结论:超声引导下射频消融治疗对囊性为主的甲状腺结节疗效更显著,聚桂醇治疗具有经济优势,二种方法均值得临床推广。
Objective:To explore the efficacy of ultrasound-guided lauromacrogol injection therapy(PLIT)and radiofrequency ablation(RFA)for treating predominantly cystic thyroid nodules.Methods:A total of 76 patients with predominantly cystic thyroid nodules admitted to Shuguang Hospital from Feb.2015 to May.2018 were treated with PLIT(N=51)or RFA(N=25).The clinical efficacy and adverse reactions of the patients were analyzed and compared after treatment.Results:At 12 months after operation,the total effective rate of RFA group was 100.00%(25/25),which was higher than that of PLIT group(84.31%,43/51),and the difference was statistically significant(P<0.05).The rate of adverse reactions was 13.73%(7/51)in the PLAT group and 16%(4/25)in the RFA group.There was no significant difference in the rate of adverse reactions between the two groups(P>0.05).Conclusion:Ultrasound-guided RFA is more effective for predominantly cystic thyroid nodules.The PLIT has economic advantages.Both methods are worthy of clinical promotion.
作者
吴凡
陈亚青
何峥
朱云开
高志玲
周静
WU Fan;CHEN Yaqing;HE Zheng;ZHUYunkai;GAO Zhiling;ZHOU Jing(Department of Ultrasound,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;The First Department of Ultrasound,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《肿瘤影像学》
2020年第4期375-380,共6页
Oncoradiology
关键词
超声
硬化治疗
射频消融
甲状腺结节
囊实性
Ultrasound
Sclerotherapy
Radiofrequency ablation
Thyroid nodule
Cystic solid
