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对良性甲状腺结节进行热性切除的五年随访结果:系统性审查和元分析

Xidong Xu¹, Ying Peng², Guoxin Han¹

¹Department of Thyroid Surgery, the Second Affiliated Hospital, Shandong First Medical University & Shandong Academy of Medical Sciences, Taian, China.

American journal of otolaryngology

|August 28, 2023

概括

热除提供了良性甲状腺结节 (BTNs) 的优秀的长期控制,显示出显著的体积减少. 这一元分析证实,在BTN的热废除后,重新生长和重新处理需要的风险很低.

科学领域:

内分泌学在内分泌学.
最少侵入性的手术
在瘤学瘤学.

背景情况:

良性甲状腺结节 (BTNs) 很常见,长期治疗的疗效至关重要.
对BTN的手术选择存在风险,需要评估替代治疗方法.
热除是一种新兴的BTN管理的最小侵入性技术.

研究的目的:

为了评估治疗良性甲状腺结节 (BTNs) 的热切除菌的5年随访结果.
为了比较热除与BTN手术的长期疗效.
为了评估热除在控制BTN生长方面的安全性和有效性.

主要方法:

对2023年2月之前发表的研究进行了系统的元分析.
分析了来自五项涉及939名BTN治疗热废除的患者的研究数据.
评估了多达60个月的不同时间点的集体体积减少率 (VRR) 和并发症率.

主要成果:

热除实现了BTN显著和持久的体积减少.
在939名患者中,137名患者出现了局部复发,后来发现17个结节是非良性的.
综合重大并发症率为7.70%,没有报告危及生命或延迟并发症.

结论:

热除是一种有效的方法,用于局部控制良性甲状腺结节 (BTNs).
它提供了临床上显著和持久的BTN体积减少.
结节再生长的风险和需要重新处理的需要,通过热性切除来减少.

关键词:

激光切除术是一种激光切除术.进行元分析分析.微波除是微波除的一种方法.无线电频率剥离法无线电频率剥离法甲状腺结节甲状腺结节

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