治疗良性囊性甲状腺结节的单次射频移除:一项前性研究
Van Bang Nguyen1,2, Trong Binh Le3, Chi Le Van2
1Center of Endocrinology and Diabetes, Family Hospital, Da Nang, Vietnam.
PloS one
|February 4, 2026
概括
单次射频切除 (RFA) 有效地减少良性囊性甲状腺结节,显示出高的成功率和安全性. 纯囊性结节的反应比主要囊性结节的反应更好,提供了最少侵入性的治疗选择.
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:
- 良性囊性甲状腺结节很常见,可能需要对症状进行干预.
- 乙醇切除 (EA) 已确立,但射频切除 (RFA) 是一个有前途的替代方案,特别是在具有固体成分的结节.
研究的目的:
- 评估单次RFA对纯囊性和主要囊性甲状腺结节 (PCTNs) 的短期疗效和安全性.
主要方法:
- 对38名患有良性囊性甲状腺结节的患者进行前性研究,接受一次性RFA治疗.
- 超声波成像和甲状腺功能测试评估了1,6个月和12个月的结果.
- 体积减小率 (VRR) >50%定义治疗成功;并发症根据国际标准进行评估.
主要成果:
- RFA实现了显著的体积减少,VRR在6个月和12个月达到82%以上 (p=0.004).
- 在所有随访中,纯囊性结节的VRR高于PCTN (p<0.05).
- 在12个月后,治疗成功率为86.7%,没有重大并发症;甲状腺功能保持稳定.
结论:
- 单疗程RFA是一种安全有效的微创治疗良性囊性甲状腺结节.
- 这种技术对于纯囊性结节特别有益,可以替代手术或多次EA疗程.
- 需要进一步的比较研究来证实这些发现.
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