岳文文,董刚,任志刚,张雨昂.超声引导下国产纳秒刀消融治疗甲状腺微小乳头状癌[J].中国介入影像与治疗学,2023,20(11):641-644
超声引导下国产纳秒刀消融治疗甲状腺微小乳头状癌
Ultrasound-guided domestic nanosecond knife ablation for papillary thyroid microcarcinoma
投稿时间:2023-07-03  修订日期:2023-08-26
DOI:10.13929/j.issn.1672-8475.2023.11.001
中文关键词:  甲状腺癌,乳头状  消融技术  纳秒刀
英文关键词:thyroid cancer, papillary  ablation techniques  nanosecond knife
基金项目:国家科技重大专项课题(2018ZX10301201)、河南省科技攻关项目(232102310173)。
作者单位E-mail
岳文文 郑州大学第一附属医院超声科 河南 郑州 450052  
董刚 郑州大学第一附属医院超声科 河南 郑州 450052 dgcsjr@126.com 
任志刚 郑州大学第一附属医院感染科, 河南 郑州 450052  
张雨昂 郑州大学第一附属医院超声科 河南 郑州 450052  
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中文摘要:
      目的 观察超声引导下国产纳秒刀消融治疗甲状腺微小乳头状癌(PTMC)的效果及安全性。方法 前瞻性纳入12例PTMC患者行超声引导下国产纳秒刀消融治疗,计算术后第1、3、6个月病灶体积缩小率(VRR病灶)以及消融灶体积缩小率(VRR消融灶);观察围手术期并发症及随访期间复发、转移情况。结果 12例PTMC均一次完全消融成功。术后第1、3、6个月,VRR病灶分别为-14.43%、81.79%及100%,VRR消融灶分别为92.46%、98.56%及100%。1例术后颈部疼痛,3天后自行缓解。未见出血、喉返神经损伤、心律失常等严重并发症。随访期间无复发、转移。结论 超声引导下国产纳秒刀消融治疗PTMC有效且安全。
英文摘要:
      Objective To observe the effect and safety of ultrasound-guided domestic nanosecond knife ablation for treating papillary thyroid microcarcinoma (PTMC). Methods Twelve PTMC patients were prospectively enrolled and underwent ultrasound-guided domestic nanosecond knife ablation. The volume reduction rate of lesion (VRRlesion)and of ablated area (VRRablated area) were calculated 1, 3 and 6 months after treatment. Perioperative complications, recurrence and metastasis of PTMC during the follow-up period were recorded. Results PTMC in all 12 cases were completely ablated at one time. One, 3 and 6 month after treatment, the VRRlesion was -14.43%, 81.79% and 100%, and VRRablated area was 92.46%, 98.56% and 100%, respectively. Neck pain occurred 1 case and relieved after 3 days. No severe complication such as hemorrhage, recurrent laryngeal nerve injury and arrhythmia occurred. No recurrence nor metastasis during follow-up period was detected. Conclusion Ultrasound-guided domestic nanosecond knife ablation was effective and safe for treating PTMC.
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