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在良性甲状腺结节的微波切除后,体积减少率的预测因素:系统性审查和元分析
Zhaohui Lin1, Weina Zhang2, Yingpei Liu1
1Department of Ultrasonography, Bin Hai Wan Central Hospital of Dongguan, Dongguan, China.
Ultrasound in medicine & biology
|January 24, 2026
概括
对良性甲状腺结节的微波切除 (MWA) 显示了多样化的结果. 囊性和低声结节预测较好的体积减少,而较大的结节的成功率较低. 这些因素指导患者选择MWA.
科学领域:
- 内分泌学 在内分泌学.
- 最少侵入性手术的方法
- 医疗成像医学成像
背景情况:
- 甲状腺结节很常见,大多是良性的.
- 微波除 (MWA) 是一种比手术更少的侵入性选择.
- 甲状腺结节的MWA结果有很大的差异.
研究的目的:
- 为了确定良性甲状腺结节MWA后体积减少率 (VRR) 的预测因素.
- 分析对MWA治疗疗效的多因素影响.
主要方法:
- 在主要数据库 (PubMed,Embase等) 进行系统的文献搜索. 在2025年7月之前.
- 16项研究的元分析,包括2321名患者.
- 评估程序前特征和VRR结果.
主要成果:
- 囊性结节的VRR比固体结节的VRR高20.38%.
- 较大的结节大小与减少的手术成功 (OR 0.25) 有关.
- 超声波结节的成功率低于低声波结节的成功率 (OR 0.34).
结论:
- 结节的组成 (囊与固体),大小和回声性 (低声) 是MWA成功的关键预测因素.
- 这些发现有助于选择MWA患者,并强调需要标准化标准.
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