经皮微波消融治疗囊实性良性甲状腺结节的临床疗效评估张颂阳

首页 -> 往期阅览-> 2025年

《临床用药研究》( ISSN3105-6741、EISSN3105-675X )

发布者：Quest Press

发布日期：2026/1/11

10.12479/questpress-lcyyyj.20250220

Open Access

下载0次

浏览30次

经皮微波消融治疗囊实性良性甲状腺结节的临床疗效评估

张颂阳

（河南中医药大学第五临床医学院（郑州人民医院），河南郑州，450003

摘要：目的：分析对囊实性良性甲状腺结节患者行经皮微波消融治疗术取得的效果。方法：将于2022年9月—2024年9月入院治疗的患者结合其治疗方式划分为观察组与对照组，分别行微波消融术与传统开放手术。评估两组疗效。结果：观察组手术时间与住院时间较短，术后1天的C反应蛋白与白细胞介素-6水平较低，P＜0.05。术后1年，与术前相比，观察组FT3、FT4水平相对稳定，高于对照组，观察组TSH水平低于对照组，P＜0.05。术后1年，观察组生活质量评分较高，P＜0.05。观察组并发症发生率较低，P＜0.05。结论：囊实性良性甲状腺结节患者治疗环节，应用经皮微波消融术，可有效缩短患者手术时间，加速患者康复，提升患者术后1天炎症因子控制水平，改善患者甲状腺功能，提升患者生活质量。
关健词：经皮微波消融；囊实性良性甲状腺结节；疗效

Clinical evaluation of percutaneous microwave ablation in the treatment of cystic benign thyroid nodules

Songyang Zhang
The Fifth Clinical Medical College of Henan University of Chinese Medicine（Zhengzhou People's Hospital）

Abstract：Objective: To analyze the effect of percutaneous microwave ablation for patients with cystic benign thyroid nodules. Methods: Patients admitted to hospital from September 2022 to September 2024 were divided into observation group and control group according to their treatment methods，and microwave ablation and traditional open surgery were performed respectively. The curative effects of the two groups were evaluated. Results: The operation time and hospitalization time in the observation group were shorter，and the levels of C-reactive protein and interleukin -6 were lower one day after operation，P < 0.05. One year after operation，compared with before operation，the levels of FT3 and FT4 in the observation group were relatively stable，higher than those in the control group，and the level of TSH in the observation group was lower than that in the control group，P < 0.05. One year after operation，the quality of life score in the observation group was higher，P < 0.05. The incidence of complications in the observation group was low，P < 0.05. Conclusion: In the treatment of patients with cystic-solid benign thyroid nodules，percutaneous microwave ablation can effectively shorten the operation time，accelerate the recovery of patients，improve the control level of inflammatory factors one day after operation，improve the thyroid function and improve the quality of life of patients.
Keywords : percutaneous microwave ablation; Cystic-solid benign thyroid nodules; curative effect

参考文献
[1]樊津瑞，靳浩，杨君，廖坤，何焯成，崔敏.超声引导下微波消融术与开放手术在甲状腺结节治疗中效果的比较[J].蚌埠医学院学报，2018（09）:45-48+51.
[2]周麟，潘华锋，李琰.超声引导下经皮微波消融与无水酒精注射微创治疗囊实性良性甲状腺结节的临床疗效对比分析[J].临床外科杂志，2021（06）:23-26.
[3]徐佳华.微波消融术和传统手术治疗良性甲状腺结节的效果和安全性对比[J].临床医学研究与实践，2020（11）:72-74.
[4]陈爱琼，罗小明，吴敏，等.超声引导下微波消融分别联合无水乙醇硬化与聚桂醇硬化治疗甲状腺良性囊实性结节的效果比较[J].广东医科大学学报，2023，41（01）:71-74.
[5]蒋富兵；.超声引导下微波消融术治疗甲状腺良性结节的临床价值[J].临床医学工程，2021（05）:33-34.
[6]颜璟，吴艳军，杨映弘，蔺原，岳晓林，邱体红，刘培根，罗涛.微波消融与开放手术治疗甲状腺良性结节的比较[J].中华普外科手术学杂志（电子版），2017（06）:80-82.
[7]韩明相，胡俊峰.患侧全切术与对侧行甲状腺大部切除术对复发性甲状腺结节良性肿瘤对患者甲状腺功能的影响[J].数理医药学杂志，2022（10）:29-31.
[8]陈英银，刘锐洪.超声造影在甲状腺结节微波消融治疗中的应用价值[J].海南医学，2019（01）:98-100.
[9]邱晓俊，李宁星，叶盛，汤长江，罗斯立.超声造影在甲状腺良性结节微波消融手术中的应用价值[J].中国现代药物应用，2022（03）:25-28.
[10]刘玉江，徐瑞芳，钱林学，等.超声引导下经皮注射无水乙醇联合微波消融治疗甲状腺良性囊实性肿物[J].中国医学影像技术，2024，40（01）:32-36.
[11]黄汝哨，林建婷，邱秀萍，等.探究单纯微波消融与微波消融联合聚桂醇硬化在甲状腺良性囊实性结节治疗中的疗效[J].现代医用影像学，2023，32（02）:378-381.
[12]韩淼，周长明，高英，思超，刘妮.超声引导下微波消融术治疗良性甲状腺结节的疗效及安全性分析[J].现代生物医学进展，2017（21）:99-102.

论文收录证明 / 文献检索报告

Document Retrieval Certificate / Proof of Publication Indexing

作者贡献声明 / 贡献确认书

Author Contribution Statement / Certificate of Authorship Contribution

同行评审报告 / 评审意见

Peer Review Report / Peer Review Comments

利益冲突

Conflict of Interest

作者声明不存在任何利益冲突。

The author declares no conflict of interest.

本文采用知识共享“署名 4.0 国际”许可 (CC BY 4.0) 进行许可。许可协议详情请访问： https://creativecommons.org/licenses/by/4.0/。

This article is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). For details of the license, please visit:https://creativecommons.org/licenses/by/4.0/.