Progress in research on ablation of thyroid nodules.

Endokrynologia Polska Pub Date : 2024-01-01 Epub Date: 2024-06-18 DOI:10.5603/ep.98908
Ze Yang, Xue-Hua Pan, Heng-Tong Han, Yong-Xun Zhao, Li-Bin Ma
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Abstract

The incidence of thyroid nodules is rising annually. Surgical treatment is effective, but often results in significant trauma, recurrent laryngeal nerve injury, hypoparathyroidism, and other complications. Recent years have seen significant breakthroughs in thyroid nodule ablation for treating thyroid diseases, although its application remains controversial. The objective was to review the development history and current research status of thyroid nodule ablation to provide a reference for future studies. The literature on thyroid nodule ablation was reviewed, analysing its advantages and disadvantages. The therapeutic effect of thyroid nodule ablation in treating benign thyroid lesions is noteworthy, but issues such as lax treatment indications and excessive medical treatment persist. Initial success has been achieved in treating thyroid malignant lesions, particularly papillary thyroid microcarcinoma (PTMC). However, the curative effect requires further follow-up verification.

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甲状腺结节消融研究的进展。
甲状腺结节的发病率逐年上升。手术治疗虽然有效,但往往会造成重大创伤、喉返神经损伤、甲状旁腺功能减退等并发症。近年来,甲状腺结节消融术在治疗甲状腺疾病方面取得了重大突破,但其应用仍存在争议。本文旨在回顾甲状腺结节消融术的发展历史和研究现状,为今后的研究提供参考。综述了有关甲状腺结节消融术的文献,分析了其优缺点。甲状腺结节消融术治疗甲状腺良性病变的疗效显著,但治疗指征不严格、过度医疗等问题依然存在。在治疗甲状腺恶性病变,尤其是甲状腺乳头状微癌(PTMC)方面已取得初步成效。但是,其疗效还需要进一步的后续验证。
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