通过射频治疗甲状腺内侧甲状腺瘤是对甲状腺切除术的有价值的替代方案
Andrea Leoncini1, Maurilio Deandrea2, Francesca Retta2
1Servizio di Radiologia e Radiologia Interventistica, Istituto di Imaging Della Svizzera Italiana (IIMSI), Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland.
概括
射频 (RF) 除为甲状腺内腺腺瘤 (I-PA) 的手术提供了一个有希望的替代方案,甲状腺上腺腺瘤 (I-PA) 是原发性甲状腺功能障碍症 (PHPT) 的罕见原因. 这种微创治疗成功地使三名I-PA患者的激素水平正常化.
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:
- 甲状腺腺瘤 (PA) 是主要甲状腺功能障碍症 (PHPT) 的最常见原因.
- 甲状腺内甲状腺腺瘤 (I-PA) 是一种罕见的宫外甲状腺瘤变体,存在于甲状腺外围细胞内.
- 射频 (RF) 切除正在被探索为I-PA的甲状腺切除术的替代方案.
研究的目的:
- 报告三例用RF治疗的PHPT和I-PA病例.
- 评估I-PA的射频消化疗法的疗效和安全性.
主要方法:
- 三名PHPT和I-PA患者接受了射频切除.
- 使用具有特定功率设置的Viva RF系统发电机进行RF.
- 使用了超声波对比评估和内分泌学家的随访.
主要成果:
- 在这三个案例中,RF切除均成功进行.
- 主动治疗持续时间大约为1分钟.
- 治疗后的随访证实了副甲状腺激素 (PTH) 和水平的正常化.
结论:
- 射频切除在治疗I-PA方面显示出令人鼓舞的结果.
- 这种微创手术方法为I-PA的甲状腺切除术提供了一个可行的替代方案.
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