射频消融与微波消融治疗钙化性甲状腺结节的临床效果对比研究

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Radiofrequency ablationand theclinical effect of microwaveablation intreatment ofcalcified thyroid noduleJingNa，GuoLiang.DepartmentofGeneral Thoracic Tumor Surgery，Xi'anElectricPowerCentral Hospital， Shaanxi 710043， China

【Abstract】 ObjectiveTo analyze the curative effct of radiofrequency ablation （RFA）and microwave ablation（MWA）inthe treatmentofcalcification in thyroid nodules.MethodsTheclinical dataof 84 patients withcalcifiedthyroid nodulestreated inour hospital fromMarch 2022 to March 2024wereretrospectively analyzed.The patients were divided intotheRFA group （42 cases）and the MWA group （42 cases）.The volume reduction ratio （VRR）of nodules before treatment，1 month，3 monthsand 6 months after treatment was compared between the twogroups，thyroid function[thyroid stimulating hormone（TSH），free triodothyronine （FT3），free thyroxine（FT4）]，operative time，complication rate and scar recovery effct of patients were compared.Results Six months after treatment，VRR in the RFA group was （85±7） % ，which was higher than that in the MWA group （76±8） % （ P <0.05）.The procedure time was less in the RFA group than in the MWA group[（15±3）min vs （21±4） minl.The thyroid functionof the two groups remained within thenormal range after treatment，and there was no statistical significance between the two groups （P>0.O5）.Interms of complications，the incidencerate of the RFA group （ 5% ）was lower than that of the MWA group （ 12% ） P<0.05 ），and the scores of psychosocial stress rating scale （PSAS）and OSAS in the RFA group were beter than those in the MWA group one month after surgery（ P< 0.05）.There was no significant diference in PSAS and OSAS scores between 3and 6 months after operation （ P> （20号 0.05）.ConclusionRadiofrequency ablation compared with microwaveablation，has a higher volume reduction rate，shorter operation time，fewer complicationsand better efectof scarrecovery，which isa kindof safeand effective treatment.

【Key words】 Thyroid nodules；Plethysmography;Radiofrequency ablation；Microwaves

甲状腺结节（thyroid nodules，TN）是临床常见的内分泌系统疾病，在成年人群中发病率可达 20% 276% ，其中，钙化性甲状腺结节约占甲状腺结节的10%～15% ，具有特殊的临床和病理特征。（剩余7999字）