[1]吴许军,万海彤,李文阳.超声引导下热消融治疗甲状腺结节的应用[J].医学信息,2024,37(13):189-192.[doi:10.3969/j.issn.1006-1959.2024.13.041]
 Application of Ultrasound-guided Thermal Ablation in the Treatment of Thyroid Nodules.Application of Ultrasound-guided Thermal Ablation in the Treatment of Thyroid Nodules[J].Journal of Medical Information,2024,37(13):189-192.[doi:10.3969/j.issn.1006-1959.2024.13.041]
点击复制

超声引导下热消融治疗甲状腺结节的应用()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年13期
页码:
189-192
栏目:
综述
出版日期:
2024-07-01

文章信息/Info

Title:
Application of Ultrasound-guided Thermal Ablation in the Treatment of Thyroid Nodules
文章编号:
1006-1959(2024)13-0189-04
作者:
吴许军万海彤李文阳
(1.甘肃医学院附属医院普通外科一科,甘肃 平凉 744000;2.河西学院医学院,甘肃 张掖 734000)
Author(s):
Application of Ultrasound-guided Thermal Ablation in the Treatment of Thyroid Nodules
(1.Department of General Surgery,Affiliated Hospital of Gansu Medical College,Pingliang 744000,Gansu,China;2.Medical School of Hexi University,Zhangye 734000,Gansu,China)
关键词:
超声引导热消融甲状腺结节
Keywords:
Ultrasound-guidedThermal ablationThyroid nodules
分类号:
R445.1;R736.1
DOI:
10.3969/j.issn.1006-1959.2024.13.041
文献标志码:
A
摘要:
超声引导下热消融技术在肝脏、肾脏等实体肿瘤中得到了广泛应用,成为继手术、介入之后的又一种治疗手段。因其微创、操作简便等优势,成为近年来研究的热点。但该技术应用于甲状腺结节在适应证方面存在把握是否准确、操作是否规范、疗效是否确切等问题。超声引导下热消融技术在很多医疗机构大多由超声科医师操作完成,而有大量病源的临床医师对此技术了解不深。本文将超声引导下热消融技术的应用背景、适应证、消融治疗后效果进行综述,梳理热消融技术在甲状腺结节治疗中的应用进展,旨在为临床应用该技术提供参考。
Abstract:
Ultrasound-guided thermal ablation technology has been widely used in solid tumors such as liver and kidney, and has become another treatment after surgery and intervention. Because of its advantages of minimally invasive and simple operation, it has become a research hotspot in recent years. However, there are some problems in the application of this technology to thyroid nodules, such as whether the indications are accurate, whether the operation is standardized, and whether the curative effect is accurate. Ultrasound-guided thermal ablation technology is mostly performed by ultrasound doctors in many medical institutions, and clinicians with a large number of pathogens do not have a deep understanding of this technology. This article reviews the application background, indications and post-ablation effects of ultrasound-guided thermal ablation technology, and sorts out the application progress of thermal ablation technology in the treatment of thyroid nodules, aiming to provide reference for clinical application of this technology.

参考文献/References:

[1]Beer E.Landmark article May 28, 1910: Removal of neoplasms of the urinary bladder[J].JAMA,1983,250(10):1324-1325.[2]Kitahara CM,Sosa JA.The changing incidence of thyroid cancer[J].Nat Rev Endocrinol,2016,12(11):646-653.[3]Middleton MR,McAlpine C,Woodcock VK,et al.Tebentafusp, A TCR/Anti-CD3 Bispecific Fusion Protein Targeting gp100, Potently Activated Antitumor Immune Responses in Patients with Metastatic Melanoma[J].Clin Cancer Res,2020,26(22):5869-5878.[4]Vorl?覿nder C,David Kohlhase K,Korkusuz Y,et al.Comparison between microwave ablation and bipolar radiofrequency ablation in benign thyroid nodules: differences in energy transmission, duration of application and applied shots[J].Int J Hyperthermia,2018,35(1):216-225.[5]胡珂,陆志强,董怡,等.甲状腺良性大结节射频和微波消融治疗的近期安全性和有效性分析[J].复旦学报(医学版),2017,44(4):417-421.[6]张雪花,张潆化,梁萍.超声引导下微波消融治疗肝癌246例并发症分析[J].解放军医学院学报,2015,36(9):883-885.[7]Alexander EK,Cibas ES.Diagnosis of thyroid nodules[J].Lancet Diabetes Endocrinol,2022,10(7):533-539.[8]Simegn GD,Bayable SD,Fetene MB.Prevention and management of perioperative hypothermia in adult elective surgical patients:A systematic review[J].Ann Med Surg (Lond),2021,72:103059.[9]den Dekker BM,Christenhusz A,van Dalen T,et al.A multicenter prospective cohort study to evaluate feasibility of radio-frequency identification surgical guidance for nonpalpable breast lesions: design and rationale of the RFID Localizer 1 Trial[J].BMC Cancer,2022,22(1):305.[10]Cui D,Ding M,Tang X,et al.Efficacy and safety of a combination of hydrodissection and radiofrequency ablation therapy for benign thyroid nodules larger than 2 cm: A retrospective study[J].J Cancer Res Ther,2019,15(2):386-393.[11]高明,赵敬柱.甲状腺微小乳头状癌诊治探讨[J].内科理论与实践,2013,8(6):388-391.[12]中国抗癌协会甲状腺癌专业委员会(CATO).甲状腺微小乳头状癌诊断与治疗中国专家共识(2016版)[J].中国肿瘤临床,2016,43(10):405-411.[13]Ding M,Tang X,Cui D,et al.Clinical outcomes of ultrasound-guided radiofrequency ablation for the treatment of primary papillary thyroid microcarcinoma[J].Clin Radiol,2019,74(9):712-717.[14]葛明华,徐栋.甲状腺良性结节、微小癌及颈部转移性淋巴结热消融治疗浙江省专家共识(2015版)[J].中国普通外科杂志,2016,25(7):944-946.[15]朱乔丹,王立平,徐栋.对《甲状腺良性结节、微小癌及颈部转移性淋巴结热消融治疗专家共识(2018版)》的解读[J].中华医学超声杂志,2020,17(3):251-254.[16]Kim YS,Rhim H,Tae K,et al.Radiofrequency ablation of benign cold thyroid nodules: initial clinical experience[J].Thyroid,2006,16(4):361-367.[17]王立平,李明,奎徐栋,等.超声引导下经皮热消融治疗囊性为主混合性甲状腺结节[J].中华医学超声杂志(电子版),2020,17(1):17-21.[18]Khanh HQ,Hung NQ,Vinh VH,et al.Efficacy of Microwave Ablation in the Treatment of Large (≥3?cm) Benign Thyroid Nodules[J].World J Surg,2020,44(7):2272-2279.[19]李建如,罗渝昆,李岩密,等.超声引导下射频消融治疗甲状腺微小乳头状癌的疗效分析[J].解放军医学院学报,2016,37(8):823-826.[20]朱玲玲,戴慧勇,张海鹰.超声引导下经皮热消融治疗低风险甲状腺乳头状微小癌的安全性和有效性[J].解放军医学杂志,2021,46(8):796-800.[21]Biamonte E,Solbiati L,Ierace T,et al.Medullary Thyroid Carcinoma Treated With Percutaneous Ultrasound-Guided Radiofrequency Ablation[J].Endocrine,2019,65(3):515-519.[22]Teng DK,Li HQ,Sui GQ,et al.Preliminary Report of Microwave Ablation for the Primary Papillary Thyroid Microcarcinoma: A Large-Cohort of 185 Patient’s Feasibility Study[J].Endocrine,2019,64(1):109-117.[23]Min Y,Wang X,Chen H,et al.Thermal Ablation for Papillary Thyroid Microcarcinoma: How Far We Have Come?[J].Cancer Manag Res,2020,12:13369-13379.[24]Gharib H,Papini E,Paschke R,et al.American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules[J].J Endocrinol Invest,2010,33(5 Suppl):1-50.[25]Yue WW,Qi L,Wang DD,et al.US-Guided Microwave Ablation of Low-Risk Papillary Thyroid Microcarcinoma: Longer-Term Results of a Prospective Study[J].J Clin Endocrinol Metab,2020,105(6):1791-1800.[26]Kim JH,Baek JH,Sung JY,et al.Radiofrequency Ablation of Low-Risk Small Papillary Thyroid Carcinoma: Preliminary Results for Patients Ineligible for Surgery[J].Int J Hyperthermia,2017,33(2):212-219.[27]Suh CH,Baek JH,Choi YJ,et al.Efficacy and Safety of Radiofrequency and Ethanol Ablation for Treating Locally Recurrent Thyroid Cancer: A Systematic Review and Meta-Analysis[J].Thyroid,2016,26(3):420-428.[28]Choi Y,Jung SL.Efficacy and Safety of Thermal Ablation Techniques for the Treatment of Primary Papillary Thyroid Microcarcinoma: A Systematic Review and Meta-Analysis[J].Thyroid,2020,30(5):720-731.[29]Xiao J,Zhang Y,Zhang M,et al.Ultrasonography-Guided Radiofrequency Ablation for the Treatment of T2N0M0 Papillary Thyroid Carcinoma: A Preliminary Study[J].Int J Hyperthermia,2021,38(1):402-408.[30]Erturk MS,Cekic B,Celik M,et al.Microwave Ablation of Symptomatic Benign Thyroid Nodules: Short- and Long-Term Effects on Thyroid Function Tests, Thyroglobulin and Thyroid Autoantibodies[J].Clin Endocrinol (Oxf),2021,94(4):677-683.

相似文献/References:

[1]张明东,王士雷.超声引导前路坐骨、股神经阻滞在腰椎疾病下肢手术的应用研究[J].医学信息,2018,31(02):101.[doi:10.3969/j.issn.1006-1959.2018.02.035]
 ZHANG Ming-dong,WANG Shi-lei.Application of Ultrasound-guided Anterior Sciatic Nerve Block and Femoral Nerve Block in Lower Limb Operation of Lumbar Spine Disease[J].Journal of Medical Information,2018,31(13):101.[doi:10.3969/j.issn.1006-1959.2018.02.035]
[2]袁长翮.超声引导下经直肠前列腺穿刺诊断前列腺癌的价值研究[J].医学信息,2018,31(04):156.[doi:10.3969/j.issn.1006-1959.2018.04.058]
 YUAN Chang-he.The Value of Ultrasound Guided Transrectal Prostate Puncture in the Diagnosis of Prostate Cancer[J].Journal of Medical Information,2018,31(13):156.[doi:10.3969/j.issn.1006-1959.2018.04.058]
[3]饶 瑾,宗志军,高之心,等.超声引导双侧胸椎旁神经阻滞用于开放性 胃癌根治术患者的镇痛效果观察[J].医学信息,2018,31(11):80.[doi:10.3969/j.issn.1006-1959.2018.11.025]
 RAO Jin,ZONG Zhi-jun,GAO Zhi-xin,et al.Observation on Analgesic Effect of Bilateral Thoracic Paravertebral Nerve Block Guided by Ultrasound in Patients Undergoing Open Radical Gastrectomy for Gastric Cancer[J].Journal of Medical Information,2018,31(13):80.[doi:10.3969/j.issn.1006-1959.2018.11.025]
[4]程晴晴,李元海,夏晓琼,等.超声联合神经刺激仪臂丛神经干精准阻滞在肥胖患者上肢手术中的应用[J].医学信息,2019,32(19):94.[doi:10.3969/j.issn.1006-1959.2019.19.028]
 CHENG Qing-qing,LI Yuan-hai,XIA Xiao-qiong,et al.Application of Ultrasound Combined with Neurostimulator for Brachial Plexus Nerve Block in Upper Limb Surgery in Obese Patients[J].Journal of Medical Information,2019,32(13):94.[doi:10.3969/j.issn.1006-1959.2019.19.028]
[5]周蜜娟,周平辉,章 荣,等.超声引导下颈神经根阻滞治疗神经根型颈椎病的疗效[J].医学信息,2019,32(14):101.[doi:10.3969/j.issn.1006-1959.2019.14.031]
 ZHOU Mi-juan,ZHOU Ping-hui,ZHANG Rong,et al.Ultrasound-guided Cervical Nerve Root Block for the Treatment of Cervical Spondylotic Radiculopathy[J].Journal of Medical Information,2019,32(13):101.[doi:10.3969/j.issn.1006-1959.2019.14.031]
[6]苏 晓.超声引导下麦默通乳腺微创旋切术与传统手术治疗 乳腺良性肿瘤的疗效比较[J].医学信息,2019,32(14):112.[doi:10.3969/j.issn.1006-1959.2019.14.035]
 SU Xiao.Comparison of Ultrasound-guided Minimally Invasive Mammography with Conventional Surgery for Benign Breast Tumors[J].Journal of Medical Information,2019,32(13):112.[doi:10.3969/j.issn.1006-1959.2019.14.035]
[7]吉晓晨,崔文斌,张博雅,等.超声引导胸椎旁神经阻滞对乳腺癌根治术后疼痛的影响[J].医学信息,2019,32(22):94.[doi:10.3969/j.issn.1006-1959.2019.22.028]
 JI Xiao-chen,CUI Wen-bin,ZHANG Bo-ya,et al.Effect of Ultrasound-guided Thoracic Paravertebral Nerve Block on Pain after Radical Mastectomy for Breast Cancer[J].Journal of Medical Information,2019,32(13):94.[doi:10.3969/j.issn.1006-1959.2019.22.028]
[8]崔怀信,王 鹏,厉志洪,等.超声引导下射频消融术治疗乳腺良性结节的临床效果[J].医学信息,2020,33(13):103.[doi:10.3969/j.issn.1006-1959.2020.13.028]
 CUI Huai-xin,WANG Peng,LI Zhi-hong,et al.Ultrasound-guided Radiofrequency Ablation for the Treatment of Benign Breast Nodules[J].Journal of Medical Information,2020,33(13):103.[doi:10.3969/j.issn.1006-1959.2020.13.028]
[9]姚 鑫,张立亭.超声引导下颈神经根阻滞治疗慢性颈源性疼痛的临床效果[J].医学信息,2022,35(20):84.[doi:10.3969/j.issn.1006-1959.2022.20.021]
 YAO Xin,ZHANG Li-ting.Clinical Effect of Ultrasound-guided Cervical Nerve Root Block in the Treatment of Chronic Cervical Pain[J].Journal of Medical Information,2022,35(13):84.[doi:10.3969/j.issn.1006-1959.2022.20.021]
[10]李显峰.超声引导下微波消融治疗甲状腺良性结节的效果及安全性[J].医学信息,2020,33(19):107.[doi:10.3969/j.issn.1006-1959.2020.19.032]
 LI Xian-feng.Effect and Safety of Ultrasound-guided Microwave Ablation in the Treatment of Benign Thyroid Nodules[J].Journal of Medical Information,2020,33(13):107.[doi:10.3969/j.issn.1006-1959.2020.19.032]

更新日期/Last Update: 1900-01-01