超声引导下微波消融治疗甲状腺良性结节的效果及对TSH、FT_4、FT_3水平的影响

Ultrasound-guided microwave ablation in the treatment of benign thyroid nodules and its effect on TSH,FT_4,FT_3 levels

目的:探讨甲状腺良性结节患者超声引导下微波消融治疗的效果及对患者TSH、FT_(3)、FT_(4)水平的影响。方法:选取2019年7月—2020年6月我院收治的甲状腺良性结节患者80例,依据手术方式的不同分为两组,每组患者各40例。对照组常规手术治疗,研究组超声引导下微波消融治疗。对比两组患者临床疗效及甲状腺功能。结果:研究组疗效好于对照组(P<0.05);术前两组TSH、FT_(3)、FT_(4)水平无明差异(P>0.05),术后3个月研究组各指标水平无明显变化,对照组TSH升高且高于对照组,FT_(3)与FT_(4)水平降低且低于对照组(P<0.05)。结论:超声引导下微波消融治疗甲状腺良性结节,治疗效果确切,且不会对患者甲状腺功能造成太大影响,安全性高,值得借鉴。

Objective To investigate the effect of microwave ablation under ultrasound guidance in patients with benign thyroid nodules and its effect on TSH,FT_(4) and FT_(3) levels.Methods 80 patients with benign thyroid nodules in our hospital from July 2019 to June 2020 were selected and divided into two groups according to different surgical methods,40 cases in each group.The control group received conventional surgery,while the study group received ultrasound-guided microwave ablation.The clinical efficacy and thyroid function of the two groups were compared.Results The therapeutic effect of the study group was better than that of the control group(P<0.05).There were no significant differences in TSH,FT3 and FT4 levels between the two groups before surgery(P>0.05),and there were no significant changes in all indexes in the study group three months after surgery.TSH in the control group was increased and higher than that in the control group,while FT_(3) and FT_(4) levels were decreased and lower than that in the control group(P<0.05).Conclusion ultrasound guided microwave ablation in the treatment of benign thyroid nodules,the treatment effect is exact,and will not cause too much impact on the thyroid function of patients,high safety,worthy of reference.