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甲状腺结节病症治疗分析结论与参考文献

发布时间:2019-03-23
本篇论文快速导航:
题目:甲状腺危险部位结节的消融策略探究
第一章:甲状腺结节和微波消融研究现状
第二章:甲状腺结节手术治疗资料与方法
第三章:微波手术在甲状腺结节中的应用结果与讨论
第四章-参考文献:甲状腺结节病症治疗分析结论与参考文献

  第四章 结论
 

  
  本文中笔者通过对兰州大学第一医院 2016 年 1 月-2017 年 1 月超声介入科微波消融治疗的63例甲状腺良性结节及随机抽取头颈外科收治的68例甲状腺良性结节外科传统手术病人的相关资料进行回顾性分析,对比两种治疗方法的治疗结果以及手术过程,得出以下结论:
  
  1.消融组术后甲状腺结节体积缩小率随随访时间延长渐次增大,有 3 枚结节在术后随访期间缩小率达 100%。手术组术后结节缩小率均为 100%。微波消融术与手术切除甲状腺结节均可以有效消除甲状腺良性结节,微波消融术手术疗效需要长期观察,手术切除甲状腺结节手术疗效显现更为快速直。
  
  2.微波消融治疗甲状腺结节术后甲状腺的功能与正常的患者没有显着的差异,微波消融治疗甲状腺结节在有效治疗甲状腺结节的同时也保留了甲状腺的功能。手术切除甲状腺治疗甲状腺良性结节对患者的甲状腺功能伤害较大。
  
  3.消融组术后总的并发症的发生率明显低于手术组术后并发症的发病几率。甲状腺切除后会对人体造成一定的损伤,血肿、感染、声音嘶哑、甲状旁腺损伤等术后并发症的出现会增加病人的痛苦,并且影响手术疗效的判断。对于一些体情况较差,不能耐受传统外科手术治疗的患者,可以优先考虑微波消融治疗,在发挥最优的治疗效果的基础上,最大程度减轻病人的痛苦。
  
  4.微波消融治疗甲状腺良性结节的过程中,应该根据患者甲状腺结节具体情况,针对性的对结节部位进行全面术前风险评估,根据实际情况采取合适的预防方法,如使用液体隔离带法和杠杆撬离法以及危险部位注射聚桂醇辅助消融等,能有效的减少并发症的出现。

甲状腺结节病症治疗分析结论与参考文献

  
  5.超声引导下经皮微波消融技术治疗甲状腺良性结节,具有精准、美观、并发症少、创伤小、住院时间短、可重复操作等优点,治疗效果良好,可广泛应用于临床,但其远期治疗疗效还需进一步随访观察。

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