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.
Annales d'endocrinologie
|October 22, 2025
概括
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.
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.
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