Comparison of the Efficacy of Ultrasound-Guided Microwave Ablation of Parathyroid Adenoma with Surgical Procedures

Jie-cheng Huang, Wei-ming Xu, Can-Dong Liu
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Abstract

Objective: To compare the clinical efficacy and safety of ultrasound-guided microwave ablation with surgery for the treatment of primary parathyroid adenoma. Methods: The clinical data of patients with primary parathyroid adenoma admitted to the First Hospital of Yangtze University from January 2010 to May 2020 were retrospectively analyzed, and they were divided into 43 cases in the microwave ablation group (MWA) and 39 cases in the surgical procedure group (SR) according to the different treatment methods. The surgical condition, postoperative complications, and changes in serum parathyroid hormone (PTH) and serum calcium and phosphorus levels were analyzed in both groups. Results: The hospital stay and operation time of patients in the microwave ablation group were shorter than those in the surgical group, and the intraoperative bleeding was significantly less than that in the surgical group (P 0.05). There was no statistically significant difference in the incidence of postoperative complications between the two groups (P > 0.05). Conclusion: Microwave ablation can achieve the same therapeutic effect as surgery. It is a safe and feasible clinical technique worthy of clinical promotion with its short hospitalization time, less bleeding and less trauma.
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超声引导下微波消融甲状旁腺腺瘤与手术治疗的疗效比较
目的:比较超声引导下微波消融与手术治疗原发性甲状旁腺瘤的临床疗效和安全性。方法:回顾性分析2010年1月至2020年5月长江大学第一医院收治的原发性甲状旁腺瘤患者的临床资料,根据治疗方法的不同分为微波消融组(MWA) 43例和手术组(SR) 39例。分析两组患者手术情况、术后并发症及血清甲状旁腺激素(PTH)、钙、磷水平变化。结果:微波消融组患者住院时间和手术时间均短于手术组,术中出血明显少于手术组(P < 0.05)。两组术后并发症发生率比较,差异无统计学意义(P < 0.05)。结论:微波消融术能达到与手术相同的治疗效果。其住院时间短、出血少、创伤小,是一种安全可行的临床技术,值得临床推广。
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