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在对良性甲状腺结节进行射频切除后,甲状腺结节破裂

Joaquin Austerlitz¹, Daljit Singh Mann^1,2, Julia E Noel^1,3

¹Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California.

JAMA otolaryngology-- head & neck surgery

|June 13, 2024

概括

甲状腺结节破裂 (TNR) 发生在2%的射频除 (RFA) 患者中. 前部破裂可能与移动射击技术有关,建议较小的尖端和调整的能量传递以防止这种罕见的并发症.

科学领域:

内分泌学在内分泌学.
干预性放射学干预性放射学
手术瘤学手术瘤学

背景情况:

甲状腺射频切除 (RFA) 越来越多地用于良性结节.
结节破裂 (TNR) 是RFA的一个罕见但严重的并发症.
了解TNR对于其管理和预防至关重要.

研究的目的:

确定导致TNR的程序和患者因素.
描述TNR的管理方式.
综合有关TNR的现有文献.

主要方法:

追溯298名患者的病例系列,他们接受了良性甲状腺结节的RFA.
使用超声波指导和移动射击技术执行的程序.
分析与TNR相关的患者和程序特征.

主要成果:

六名患者 (2%) 经历了TNR,所有前部破裂.
破裂的平均时间是手术后36天.
所有病例都得到了保守的治疗,大多数患者完全康复.

结论:

前部TNR可能与移动射击技术的热和机械创伤有关.
使用较小的活跃尖端和调整能量传递可能有助于预防TNR.
需要进一步报告以澄清风险因素并改进预防策略.

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