靠近甲状腺囊与远离甲状腺囊的甲状腺乳头状微癌射频消融术:一项回顾性研究。

Jieli Luo, Tianchen Hui, Peile Jin, Yang Sun, Yajun Chen, Zimei Lin, Pintong Huang
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引用次数: 0

摘要

引言本研究旨在评估超声引导下射频消融术(RFA)治疗靠近甲状腺囊的甲状腺乳头状微小癌(PTMC)的安全性和有效性:这是一项回顾性研究,研究对象为2015年6月至2022年12月期间接受RFA治疗的202例靠近甲状腺囊的PTMC患者和接受RFA治疗的80例远离甲状腺囊的PTMC患者。对RFA术后随访时间、肿瘤大小变化、位置、甲状腺功能、PTMC消失率和并发症进行了评估:共有202名靠近甲状腺囊的PTMC患者和80名远离甲状腺囊的PTMC患者成功接受了RFA治疗。两组患者的甲状腺功能(包括游离三碘甲状腺原氨酸(fT3)、游离甲状腺素(fT4)、三碘甲状腺原氨酸(T3)、甲状腺素(T4)和促甲状腺激素(TSH))在 RFA 治疗 1 个月后均无变化。与术前相比,两组患者在 RFA 术后 1、3 和 6 个月的肿瘤大小均有所增加。与术前相比,两组患者在 RFA 术后 12 个月和 24 个月的肿瘤体积均有所缩小。经超声检查评估,79 例靠近甲状腺囊的 PTMC 和 30 例远离甲状腺囊的 PTMC 完全消失。84名靠近甲状腺囊的PTMC患者和34名远离甲状腺囊的PTMC患者在RFA治疗后出现了轻微并发症。两组患者的并发症发生率相似:结论:对于甲状腺囊附近的PTMC患者来说,超声引导下的RFA似乎是一种有效而安全的方法。
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Radiofrequency ablation for papillary thyroid microcarcinoma close to the thyroid capsule versus far from the thyroid capsule: a retrospective study.

Introduction: The aim of this study was to evaluate the safety and efficacy of ultrasound-guided radiofrequency ablation (RFA) for the management of papillary thyroid microcarcinoma (PTMC) close to the thyroid capsule.

Material and methods: This was a retrospective study of 202 patients with PTMC who underwent RFA close to the thyroid capsule and 80 patients with PTMC who underwent RFA far from the thyroid capsule between June 2015 and December 2022. The follow-up time after RFA, change in size of tumour, location, thyroid function, the rates of PTMC disappearance, and complications were evaluated.

Results: A total of 202 patients with PTMC close to the thyroid capsule and 80 patients with PTMC far from the thyroid capsule successfully treated with RFA were studied. The thyroid function including free triiodothyronine (fT3), free thyroxine (fT4), triiodothyronine (T3), thyroxine (T4), and thyroid-stimulating hormone (TSH) showed no changes after RFA for one months in both groups. The tumour size was increased at 1, 3, and 6 months after RFA compared with pre-operative RFA in both groups. The tumour size was decreased at 12 and 24 months after RFA compared with pre-operative RFA both in both group. Seventy-nine PTMC close to the thyroid capsule and 30 PTMC far from the thyroid capsule completely disappeared as assessed by ultrasound examination. Eighty-four PTMC patients close to the thyroid capsule and 34 PTMC patients far from the thyroid capsule had minor complications after RFA treatment. The complication rates between the 2 groups were similar.

Conclusion: Ultrasound-guided RFA seems to be an effective and safe method for patients with PTMC close to the thyroid capsule.

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