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首页> 外文期刊>Journal of Therapeutic Ultrasound >Volume reduction of benign thyroid nodules 3?months after a single treatment with high-intensity focused ultrasound (HIFU)
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Volume reduction of benign thyroid nodules 3?months after a single treatment with high-intensity focused ultrasound (HIFU)

机译:高强度聚焦超声(HIFU)单次治疗后3个月,甲状腺良性结节的体积减少

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摘要

Background High-intensity focused ultrasound (HIFU) is a promising, non-invasive technique in treating benign thyroid nodules (TNs). The aim of this study was to evaluate the efficacy of HIFU to induce clinically meaningful shrinkage in benign predominantly solid TNs and to identify variables that influence or predict the magnitude of TN volume reduction. Methods For each of ten subjects, HIFU treatment was conducted on a single nodule. Nodular volume was measured sonographically at baseline and at 3 months post-procedure. Nodular function and early treatment assessment was done scintigraphically. Results Median nodular volume reduction was 0.7 ml absolute and 48.8% relative to pre-interventional size (p?
机译:背景技术高强度聚焦超声(HIFU)是一种治疗甲状腺良性结节(TNs)的有前途的非侵入性技术。这项研究的目的是评估HIFU在良性为主的固体TNs中引起临床上有意义的收缩的功效,并确定影响或预测TN量减少幅度的变量。方法对十个受试者中的每个受试者,均在单个结节上进行HIFU治疗。在基线和手术后3个月通过超声检查结节体积。闪烁扫描显示结节功能和早期治疗评估。结果相对于介入前的大小,结节的容积减少中位数为0.7 ml,绝对值的48.8%(p <0.05)。绝对收缩率与平均治疗深度呈负相关(τ= = 0.61,p <0.05)。绝对结节体积与闪烁显像结节摄取减少呈正相关(τ?=?0.66,p?<?0.05)。结论HIFU治疗良性为主的TNs似乎是安全有效的诱导结节性收缩。尽管有改善的潜力,但是用HIFU进行单次治疗已经可以替代更标准的方法。多种HIFU治疗的可行性需要进一步研究。由于样本量较小,该分析的结果需要较大的研究证实。

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