超声引导下微波消融术治疗甲状腺良性结节的临床价值

Clinical Value of Ultrasound-Guided Microwave Ablation in the Treatment of Benign Thyroid Nodules

目的探讨超声引导下微波消融术治疗甲状腺良性结节的临床价值。方法选取我院2017年1月至2019年2月收治的118例甲状腺良性结节患者,随机分为对照组和观察组各59例。对照组采用传统开放手术治疗,观察组采用超声引导下微波消融术治疗,比较两组的手术指标、机体应激反应指标。结果观察组的手术时间、住院时间明显短于对照组,术中出血量明显少于对照组(P<0.05)。术后,观察组的VAS评分、CRP、COR、WBC均明显低于对照组(P<0.05)。结论超声引导下微波消融术治疗甲状腺良性结节创伤较小,术后恢复较快,对机体应激反应影响较小。

Objective To explore the clinical value of ultrasound-guided microwave ablation in the treatment of benign thyroid nodules.Methods 118 cases of patients with benign thyroid nodules admitted to our hospital from January 2017 to February 2019 were selected and randomly divided into control group and observation group,with 59 cases in each group.The control group was treated with traditional open surgery,and the observation group was treated with ultrasound-guided microwave ablation.The operation indicators and stress response indicators were compared between the two groups.Results The operation time and hospitalization time of the observation group were significantly shorter than those of the control group,and the intraoperative blood loss was significantly less than that of the control group(P<0.05).After operation,the VAS score,CRP,COR and WBC of the observation group were significantly lower than those of the control group(P<0.05).Conclusions Ultrasound-guided microwave ablation in the treatment of benign thyroid nodules has less trauma,faster postoperative recovery and less influence on stress response.