超声引导下射频与微波消融治疗甲状腺良性结节的比较

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Abstract Objective To discuss the comparative values of radiofrequency ablation and microwave ablation in the treatment of benign thyroid nodules. Methods From August 2013 to January 2017, 92 patients with benign thyroid nodules in Tangshan People's Hospital were selected and divided into observation group and control group by random number table, with 46 cases in each group. The control group was treated by ultrasound guided radiofrequency ablation therapy, and the observation group was treated by ultrasound guided microwave ablation treatment. The prognosis in the two groups were recorde. Results All patients were completed the ablation successfully. After treatment, the total effective rates of the observation group and the control group were 87% and 82.6% respectively, and there was no significant difference compared between the two groups (P > 0.05). Three days after treatment, incidence rates of hepatic dysfunction in observation group and control group were 4.3% and 17.4% respectively, and the incidence of the observation group was lower than that of the control group (P < 0.05). Fourteen days after treatment, the serum TT3 and TT4 values of the observation group and the control group were significantly higher than before treatment (P < 0.05), and the values of the observation group were higher than those of the control group (P < 0.05). Three months after treatment, the total complication incidence rate in the observation group was 6.5%, 26.1% in the control group, so the observation group was significantly lower than the control group (P < 0.05). Conclusion Compares with ultrasound guided radiofrequency ablation, microwave ablation of benign thyroid nodules has good ablation effect. It can promote thyroid hormone secretion, reduce liver damage, reduce the incidence of complications, and it has very good application values.

Key words： Radiofrequency ablation Ultrasound Microwave ablation Benign thyroid nodules

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	ZHANG Xiufang LIU Jingping HU Jian MA Jinqiu

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ZHANG Xiufang LIU Jingping HU Jian MA Jinqiu. Comparative analysis of radiofrequency ablation and microwave ablation in treating benign thyroid nodules[J]. 中国医药导报, 2018, 15(7): 123-126.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I7/123

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