相关实验视频

Updated: May 14, 2025

Thermal Ablation for the Treatment of Abdominal Tumors

Thermal Ablation for the Treatment of Abdominal Tumors

Published on: March 7, 2011

对良性甲状腺结节进行热性切除的长期影响:系统性审查和元分析

Xinshu Zhao¹, Jianan Xue¹, Weiying Yu¹

¹Department of Ultrasound, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.

European radiology

|April 11, 2025

概括

热除为良性甲状腺结节 (BTNs) 提供了一种安全有效的长期解决方案. 微波切除 (MWA) 在3年的随访研究中,与激光切除 (LA) 和射频切除 (RFA) 相比,显示出更高的疗效.

科学领域:

内分泌学在内分泌学.
最少侵入性的手术
医疗成像医学成像

背景情况:

超声波导向的热性切除是治疗良性甲状腺结节 (BTNs) 的一种成熟的方法.
长期安全性和疗效数据对于治疗验证至关重要.
进行了系统审查和元分析,以评估三年后的结果.

研究的目的:

评估治疗良性甲状腺结节的热切除术的长期安全性和有效性.
为了比较不同热除技术的结果:激光除 (LA),射频除 (RFA) 和微波除 (MWA).

主要方法:

研究的系统审查和元分析,至少3年后续研究.
在MEDLINE,Embase和Cochrane图书馆的数据库中搜索到2024年1月.
分析了结节体积的减少,再生率,症状的改善,化品的结果和并发症.

主要成果:

三年后,热除显著降低了BTN体积 (p < 0.00001),体积减少率 (VRR) 为71.59%.
总体重大并发症率为1.96%,在切除类型之间没有显著差异.
与RFA和LA相比,微波切除 (MWA) 显示了最高的VRR (89.68%) 和最低的再生率 (1.96%) .

结论:

热移除是一种安全有效的长期治疗良性甲状腺结节的方法.
微波切除 (MWA) 似乎比射频切除 (RFA) 和激光切除 (LA) 在减小体积和防止再生生长方面更有效.
进一步的研究可能会阐明针对特定结节特征的最佳技术.

关键词:

切除技术,甲状腺结节,甲状腺结节进行元分析分析.

更多相关视频

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

Published on: September 15, 2023

Investigation of the Electrophysiological and Thermographic Safety Parameters of Surgical Energy Devices During Thyroid and Parathyroid Surgery in a Porcine Model

Investigation of the Electrophysiological and Thermographic Safety Parameters of Surgical Energy Devices During Thyroid and Parathyroid Surgery in a Porcine Model

Published on: October 13, 2022

相关概念视频

Functions of Thyroid Hormones

Functions of Thyroid Hormones

The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...

Synthesis and Regulation of Thyroid Hormones

Synthesis and Regulation of Thyroid Hormones

Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...