在甲状腺射频切除过程中对声音变化进行直接的冰包装:回顾一系列病例
Mei-Chen Yeh1, Wei-Shin Yu2,3, Hsiang-Lin Lee2,4
1Division of Metabolism and Endocrinology, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan, chimei.org.tw.
Case reports in endocrinology
|February 20, 2026
概括
直接加冰提供了一种安全有效的非侵入性治疗方法,用于在甲状腺结节的射频切除 (RFA) 后的语音变化. 这种方法在RFA后经历声带低流动性的患者中提供了快速的症状缓解.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 干预性放射学 干预性放射学
- 超声波技术 超声波技术
背景情况:
- 声音变化是对甲状腺结节的射频除 (RFA) 的已知并发症,通常是由于循环喉神经的热损伤.
- 虽然自发恢复是常见的,但及时干预可以缓解患者与声音变化相关的痛苦和焦虑.
研究的目的:
- 评估直接冰包装的有效性和安全性,作为一种管理策略,用于治疗良性甲状腺结节的RFA期间或RFA后立即发生的语音变化.
主要方法:
- 一个回顾性案例系列,涉及五名经历RFA后语音变化的患者.
- 使用实时喉超声波来诊断ipsilateral声带 (VC) 低流动性.
- 冰直接应用于甲状腺覆盖的皮肤上,每10分钟监测一次VC运动和皮肤完整性.
主要成果:
- 所有五名患者在20-50分钟内 (中位数为30分钟) 经历了声音变化症状的完全消失.
- 该干预措施耐受性良好,没有报告的并发症,例如感冒引起的皮肤损伤.
- 没有需要额外的治疗来控制症状.
结论:
- 直接加冰似乎是治疗甲状腺结节RFA后急性语音变化的安全,实用和非侵入性选择.
- 症状的快速改善表明了潜在的疗效,尽管需要在更大的人群中进行进一步的研究来证实这些发现.
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