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射频切除后的甲状腺结节破裂和甲状腺功能障碍:一个病例报告

Le Thi My¹, Tran Thi Hoang Anh¹, Nguyen Thi Thanh Hien²

¹Radiology Department, Vinmec Times City International hospital, Vinmec Healthcare System, Hanoi, Vietnam.

Radiology case reports

|July 21, 2025

概括

对于甲状腺结节的射频切除 (RFA) 很少会导致破裂和甲状腺功能障碍. 保守治疗缓解了症状,并且RFA后结节体积显著下降.

科学领域:

内分泌学在内分泌学.
最少侵入性手术的方法

背景情况:

射频切除 (RFA) 是良性甲状腺结节的关键治疗方法,提供比手术更少的侵入性选择.
结节破裂是RFA的一个罕见但已有记录的并发症.

研究的目的:

在RFA后报告一种罕见的甲状腺结节破裂和随后的甲状腺功能障碍的病例.
为了说明这种并发症保守管理的有效性.
记录RFA的长期结果,包括结节体积的减少.

主要方法:

一名45岁的男性患者接受了良性甲状腺结节的RFA.
术后,进行了部超声波和甲状腺功能测试,以评估并发症.
患者因观察到的甲状腺功能增强症而接受了保守治疗.

主要成果:

患者在RFA后41天经历了结节破裂和甲状腺功能障碍.
部超声波证实了囊的破坏和一个相邻的质量.
甲状腺功能测试在保守治疗后两周内正常化.
在RFA后五个月,甲状腺结节体积减少了92%,相邻的病变消失了.

结论:

甲状腺结节破裂和过渡性甲状腺功能障碍不常见,但是RFA的可控并发症.
保守的管理可以有效地解决RFA后甲状腺功能障碍.
RFA在减少良性甲状腺结节体积方面表现出显著的长期疗效.

关键词:

甲状腺功能过强症甲状腺功能过强症无线电频率剥离法无线电频率剥离法甲状腺结节破裂甲状腺结节破裂

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