超声引导下微波消融术治疗良性甲状腺结节临床分析

摘要

Objective To study the clinical effect of ultrasound-guided microwave ablation (MWA) for treating benign thy-roid nodules(BTN). Methods Group selection 108 BTN patients admitted into the hospital from July 2014 to November 2015 were divided into two groups by surgical methods. Control group (n=54) took traditional resection; treatment group (n=54) took ultrasound-guided MWA. Serum index and nodule size of two groups before and after treatment were compared. Re-sults After treatment, IL-6, TNF-α, CRP levels of control group were (14.2±4.5)ng/L,(50.3±2.6)ng/L,(7.8±2.2)mg/L respec-tively, which were higher than(3.7±1.0)ng/L,(43.2±5.9)ng/L,(0.7±0.3)mg/L of treatment group, and nodule diameter of control group (6.3 ±2.2)mm was higher than (3.0 ±1.3)mm of treatment group,the difference was statistically signifioant (P<0.05). Conclusion Ultrasound-guided MWA for treating BTN has significant effects and is worthy of clinical generalization.%目的：研究超声引导下微波消融术治疗良性甲状腺结节的临床效果。方法整群选择该院2014年7月—2015年11月收治的108例良性甲状腺结节患者,根据手术方式不同分为对照组54例,行传统切除术治疗；治疗组54例,在超声引导下行微波消融术治疗。比较两组患者治疗前后血清指标及结节大小。结果治疗后对照组IL-6、TNF-α、CRP水平分别为(14.2±4.5)ng/L、(50.3±2.6)ng/L、(7.8±2.2)mg/L,均高于治疗组(3.7±1.0)ng/L、(43.2±5.9)ng/L、(0.7±0.3)mg/L,且结节直径(6.3±2.2)mm高于治疗组的(3.0±1.3)mm,差异有统计学意义(P﹤0.05)。结论超声引导下行微波消融术治疗良性甲状腺结节效果显著,值得临床推广。