在PET/CT中对低SUV的甲状腺卵泡新生体进行超声波导向射频废除的中期研究结果
An-Ni Lin1, Wei-Che Lin1,2, Yen-Hsiang Chang3
1Department of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan, cgu.edu.tw.
International journal of endocrinology
|January 30, 2026
概括
射频除 (RFA) 能够有效地减少患有卵泡瘤的患者的甲状腺结节大小. 这种安全的手术为符合条件的个人提供了手术的可行替代方案.
科学领域:
- 内分泌学 在内分泌学.
- 最少侵入性手术的方法
- 在瘤学瘤学.
背景情况:
- 射频除 (RFA) 正在探索用于治疗甲状腺结节.
- 专注于卵泡瘤细胞学和PET/CT的低标准摄取值 (SUV) 的结节.
研究的目的:
- 评估针对特定甲状腺结节的RFA中期结果.
- 评估有效性,安全性和患者报告的结果.
主要方法:
- 在2018-2021年期间,40名毛囊瘤患者接受了RFA.
- 在34名患者的治疗前诊断包括超声波,FNA/CNB和PET/CT.
- 随访包括超声波,症状/化品评分,并发症评估,并在6-12个月后重复FNA.
主要成果:
- 观察到显著的结节体积减少:71.5%在6个月,81.45%在最后的随访.
- 低并发症率:每个病例中有1例声带和,两者均得到解决.
- 没有报告RFA后的甲状腺功能低下症; 甲状腺蛋白和SUVmax之间存在正相关性.
结论:
- RFA是一种安全有效的中期治疗低风险的卵泡瘤 (SUVmax < 5).
- 对于那些不符合条件或更愿意避免手术的患者来说,RFA为手术提供了一个可行的替代方案.
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