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关于治疗甲状腺和副甲状腺病理的干预技术的最新情况.

Jean-Guillaume Marchand1, Adrien Ben Hamou2, Sylvain Poirée3

  • 1Thyroid and Endocrine Tumors Department, Pitié-Salpêtrière Hospital, Paris, France; Thyroid Tumors Clinical Research Group n°16, Sorbonne University, Cancer Institute, Paris, France; Centre of Pathology and Radiology, Paris, France.

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概括
此摘要是机器生成的。

通过皮肤注射乙醇 (PEI) 和热切除菌 (TA) 等最小侵入性技术正在推进宫内分泌病理治疗. 这些方法为甲状腺结节和副甲状腺腺瘤的手术提供了有效的,不那么侵入性的替代方案.

关键词:
甲状腺结节 甲状腺结节乙醇除法 乙醇除法皮囊甲状腺癌是甲状腺癌.副甲状腺腺瘤 副甲状腺腺瘤无线电频率无线电频率的使用.通过热除进行了热除.

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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
  • 最少侵入性的手术

背景情况:

  • 宫内分泌病理传统上需要常规手术.
  • 在过去的二十年中,干预技术发生了显著的进化.
  • 非手术方法提供了不那么侵入性的替代方案.

研究的目的:

  • 审查宫内分泌病理学的非手术干预技术的最新进展.
  • 专注于通过皮肤注射乙醇 (PEI) 和热剥离 (TA) 的指示,疗效和安全性.

主要方法:

  • 通过皮肤注射乙醇 (PEI) 治疗囊性甲状腺结节.
  • 热性切除 (TA),包括射频切除 (RFA),激光切除 (LA) 和微波切除 (MWA),用于固体/混合甲状腺结节和选定的病例.
  • 对于局部区域性复发性甲状腺癌和甲状腺内甲状腺腺瘤的TA.

主要成果:

  • PEI对囊性甲状腺结节有效,并发症最小.
  • TA是良性甲状腺结节的成熟选择,对低风险的乳头甲状腺癌有前途.
  • 甲状腺瘤治疗是甲状腺癌复发和甲状腺内腺瘤的可行的替代方案,特别是在高风险患者中.

结论:

  • 像PEI和TA这样的最小侵入性技术在内分泌实践中越来越突出.
  • 这些技术提供最佳的患者结果,同时保持甲状腺和副甲状腺功能.
  • 指示范围正在扩大,程序协议正在完善.