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评估微波除用于治疗大型良性甲状腺结节的微波除方法
Yinzhu Zhao1, Fu Jin1,2, Ting Chang1
1Department of Ultrasound, The First Affiliated Hospital of the University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
Gland surgery
|February 11, 2026
概括
微波除 (MWA) 有效地治疗大良性甲状腺结节 (BTNs),体积减少82.54%. 重复切除是防止在BTN的MWA期间重复发生的喉神经损伤的关键.
科学领域:
- 干预性放射学 干预性放射学
- 甲状腺学 甲状腺学
- 在瘤学瘤学.
背景情况:
- 大型良性甲状腺结节 (≥4厘米) 由于接近关键结构,因此存在治疗挑战.
- 微波切除 (MWA) 为大良性甲状腺结节 (BTNs) 提供了一个非手术的选择.
- 由于MWA能够达到高内温度,这使其成为一个有前途的治疗方式.
研究的目的:
- 评估MWA对大型BTN的有效性和安全性.
- 探索在MWA期间预防复发性喉神经 (RLN) 损伤的策略.
主要方法:
- 对205名用MWA治疗的大型BTN患者的回顾性分析.
- 临床和超声波评估在消去后的1,6个月和12个月.
- 分析体积减小率 (VRR),影响因素和并发症.
主要成果:
- 平均结节大小为46.56毫米;平均体积为22.91毫升.
- 在12个月后,平均VRR为82.54%的技术疗效率为93.66%.
- 一名患者出现过渡性声;由于隔离液体问题,18例患者需要重复切除.
结论:
- 对于大型BTN来说,MWA是一种安全有效的治疗方法.
- 在隔离液不足时,二次切除对于防止RLN损伤至关重要.
- MWA在减少大型良性甲状腺结节体积方面表现出显著的有效性.
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