b超引导微波消融与传统手术治疗结节性甲状腺肿的对比研究.docVIP

精品论文 参考文献 B超引导微波消融与传统手术治疗结节性甲状腺肿的对比研究 [1]广州中医药大学附属高州市中医院外三科 广东 高州525200 [2]广州中医药大学附属高州市中医院超声科 广东 高州525200 【基金】 广东省茂名市科技计划项目 茂科字【2015】15号-2015174-0024281140330045 【摘要】 目的 探讨四维B超引导定位穿剌微波消融与传统手术治疗结节性甲状腺肿的效果和优缺点。方法 将102例结节性甲状腺肿病人随机分为2组，每组51例，采用四维B超引导定位穿剌结节性甲状腺肿微波消融为微波消融组，采用传统术式切除大部分甲状腺﹙含结节﹚为传统手术组。结果 微波消融组在手术出血量、手术时间、住院天数、术后疼痛、甲状腺功能减退和并发症发生等均优于传统手术组（P＜0.01）；消融结节术后18个月完全吸收率100%；2组术后残留小结节比较（P＞0.05），无显著差异。但医疗费用则高于传统手术组。结论 微波消融比传统术式治疗结节性甲状腺肿并发症少、是一种微创、美容、安全可行、临床效果确切的新技术，值得推广应用。 【关健词】 微波消融术；结节性甲状腺肿；微创；美容。 Application Researches on four-dimensional ultrasound guided percutaneous puncture positioning of nodular goiter microwave ablation Yang Jinhua[1] Liu Haibo[2]Yuxiong Wang[1] Wu Shiji[1] Li Benjamin [1] Mai Yongqing [1] Xiong Yonghui [1] [1]Guangzhou University of Traditional Chinese Medicine affiliated hospital ,Gaozhou traditional Chinese medicine hospital, The third department of surgery, Gaozhou ,Guangdong province 525200 [2]Guangzhou University of Traditional Chinese Medicine affiliated hospital ,Gaozhou traditional Chinese medicine hospital, Ultrasonic department, Gaozhou ,Guangdong province 525200 【 Abstract 】 objective: To explore the four-dimensional ultrasound guided puncture positioning microwave ablation with conventional surgery for the treatment of nodular goiter and advantages and disadvantages. Methods: 102 cases were randomly divided into 2 groups, each group are consist of 51 cases. Among the two groups, the microwave ablation group are using the four-dimensional ultrasound guided positioning percutaneous puncture under the nodular goiter microwave ablaction, the other group, named as traditional surgery group , making use of traditional surgery to remove most of the thyroid gland (including nodules). Results: Microwave ablation group in surgical blood loss, operative time, postoperative hospitalization days, (the degree of pain, hypothyroidism, complications) is superior to the traditional surgery group, P lt; 0.01, microwave ablation gro