超声引导下射频消融治疗甲状腺乳头状癌颈部转移淋巴结的疗效分析

Therapeutic Effect of Ultrasound-guided Radiofrequency Ablation on Cervical Metastatic Lymph Nodes of Papillary Thyroid Carcinoma

目的:分析超声引导下射频消融治疗甲状腺乳头状癌颈部转移淋巴结的可行性、有效性和安全性。方法:本次研究样本采集时间为2017年1月~2019年1月,将在本院接受治疗的120例甲状腺乳头状癌颈部转移淋巴结患者随机分为对照组(n=60例)与观察组(n=60例)。前者接受超声引导下微波消融治疗,后者接受超声引导下射频消融治疗。对比两组患者治疗总有效率、临床指标改善情况。结果:观察组患者治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组的淋巴结面积、血清Tg水平指标改善情况明显优于对照组,差异有统计学意义(P<0.05)。结论:对甲状腺乳头状癌颈部转移淋巴结患者施以超声引导下射频消融治疗,不仅可以有效提高患者治疗有效率,并且能够有效改善淋巴结面积、血清Tg水平。

Objective:To analyze the feasibility,effectiveness and safety of ultrasound-guided radiofrequency ablation for cervical metastatic lymph nodes of papillary thyroid carcinoma.Methods:The sample collection time for this study was from January 2017 to January 2019.120 patients with cervical metastatic lymph nodes of papillary thyroid carcinoma treated in our hospital were randomly divided into a reference group(n=60 cases)and an experimental group.(N=60 cases).The former received ultrasound-guided microwave ablation,and the latter received ultrasound-guided radiofrequency ablation.The total effective rate of treatment and clinical indicators of the two groups of patients were compared.Results:The total effective rate of treatment in the study group was higher than that in the reference group,and the difference was statistically significant(P<0.05).The improvement of the lymph node area and serum Tg level in the study group was significantly better than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion:Ultrasound-guided radiofrequency ablation for patients with metastatic lymph nodes in the neck of papillary thyroid carcinoma can not only effectively improve the treatment efficiency of patients,but also effectively improve the lymph node area and serum Tg level,which is worthy of clinical promotion and application.