超声引导下乙醇消融术与射频消融术治疗甲状腺囊实性结节的效果对比

Comparison of ultrasound-guided ethanol ablation and radiofrequency ablation in the treatment of thyroid cystic nodule

目的:分析并比较用超声引导下乙醇消融术与射频消融术治疗甲状腺囊实性结节的临床效果。方法:将2018年1月至2019年1月正定县人民医院收治的100例甲状腺囊实性结节患者随机分为射频消融术组(RFA组,n=50)与乙醇消融术组(EA组,n=50)。分别用超声引导下射频消融术与超声引导下乙醇消融术对RFA组患者与EA组患者进行治疗,然后比较两组患者甲状腺结节体积的缩小率及其术后并发症的发生率。结果:术后3个月、6个月和12个月,RFA组患者甲状腺结节体积的缩小率均高于EA组患者,差异有统计学意义(P<0.05)。RFA组患者术后并发症的发生率低于EA组患者,差异有统计学意义(P<0.05)。结论:与用超声引导下乙醇消融术治疗甲状腺囊实性结节相比,用超声引导下射频消融术治疗该病的效果更好,且能减少患者术后的并发症,提高治疗的安全性。

Objective:To analyze and compare the clinical effects of ultrasound-guided ethanol ablation and radiofrequency ablation in the treatment of thyroid cystic nodule.Methods:100 patients with thyroid cystic nodule were randomly divided into radiofrequency ablation group(RFA group,n=50)and ethanol ablation group(EA group,n=50)from January 2018 to January 2019 in Zhengding County People’s Hospital.Patients in the RFA group and the EA group were treated with ultrasoundguided radiofrequency ablation and ultrasound-guided ethanol ablation,respectively,and then the reduction rate of thyroid nodule volume and the incidence of postoperative complications were compared between the two groups.Results:At 3 months,6 months and 12 months after surgery,the reduction rate of thyroid nodule volume in RFA group was higher than that in EA group,with statistically significant difference(P<0.05).The incidence of postoperative complications in RFA group was lower than that in EA group,and the difference was statistically significant(P<0.05).Conclusion:Compared with ultrasound-guided ethanol ablation for thyroid cystic nodule,ultrasound-guided radiofrequency ablation is more effective in the treatment of this disease,and can reduce postoperative complications and improve the safety of treatment.