热消融治疗甲状腺结节的临床进展

Clinical progress of treating thyroid nodule by thermal ablation therapy

近年来,随着环境、饮食等因素的变化,甲状腺结节在全球范围内的发病率呈上升趋势,由此治疗方法也随之增多。热消融技术因其微创美观且能达到治疗目的优点,越来越受到人们的青睐,尤其是年轻的女性患者,在临床治疗中得到了快速发展。目前在治疗甲状腺良性结节(Benign Thyroid Nodules,BTN)及不可手术的复发甲状腺癌中取得了较好的疗效。然而,是否可用热消融治疗甲状腺微小乳头癌存在诸多的争议。近期国内外许多研究者发现热消融对低风险的甲状腺微小乳头癌也有一定的疗效,但是某些不规范的治疗带来的并发症也日渐显露,引发关注。望开展此方面前瞻性研究的专家,谨慎评估获益与风险,严格遵守规范的治疗流程,避免不规范的治疗。

In recent years,with the change of environmental diet and other factors,the incidence of thyroid nodule is on the rise all over the world,so the treatment methods are also increasing.Thermal ablation technology is becoming more and more popular due to its advantages of being minimally invasive and aesthetically pleasing and achieving therapeutic purposes,especially for young female patients.It has developed rapidly in clinical treatment.At present,it has achieved good efficacy in the treatment of benign thyroid nodules and unresectable recurrent thyroid cancer.However,there are many controversies about whether thermal ablation can be used to treat papillary thyroid microcarcinoma.Recent domestic and foreign many researchers found that the thermal ablation of low risk of thyroid papillary carcinoma,also to have certain curative effect,but some non-standard the complications of treatment are also increasingly exposed,get attention.Experts who carry out prospective studies in this area are expected to carefully evaluate the benefits and risks,strictly follow the standard treatment procedures,and avoid non-standard treatments.