超声引导下微波消融与传统甲状腺手术对甲状腺良性肿瘤的治疗效果分析

Analysis of Therapeutic Effect of Ultrasound-Guided Microwave Ablation and Traditional Thyroid Surgery on Thyroid Benign Tumor

目的探析对甲状腺良性肿瘤患者应用超声引导下微波消融与传统甲状腺手术治疗的临床效果差异。方法选取2020年1月—2023年1月济宁市第二人民医院收治的80例确诊为甲状腺良性肿瘤且符合手术指征的患者作为研究对象,以患者手术治疗方案差异将其分为传统组和观察组,每组40例。传统组患者应用传统甲状腺手术治疗,观察组患者应用超声引导下微波消融术治疗。比较两组患者治疗效果、手术临床指标、并发症发生情况以及甲状腺激素指标情况。结果观察组患者治疗总有效率高于传统组,差异有统计学意义(P<0.05)。观察组患者手术时间、住院时间均短于传统组,术中出血量少于传统组,差异有统计学意义(P<0.05)。观察组患者术后相关并发症发生率低于传统组,差异有统计学意义(P<0.05)。术前,两组患者甲状腺血清指标[血清游离三碘甲状腺原氨酸(FT3)、血清游离四碘甲状腺原氨酸(FT4)、促甲状腺激素(TSH)]水平比较,差异无统计学意义(P>0.05);术后,观察组患者FT3、FT4指标水平高于传统组,TSH指标水平低于传统组,差异有统计学意义(P<0.05)。结论超声引导下微波消融术治疗甲状腺良性肿瘤患者,疗效及安全性更满足临床需求,减少可能对患者产生的不良影响。

Objective To explore the diff erence of clinical eff ect between ultrasound-guided microwave ablation and traditional thyroid surgery in the treatment of thyroid benign tumor.Methods Eighty patients with thyroid benign tumor diagnosed by general surgery department of the Second People's Hospital of Jining City from January 2020 to January 2023 and conforming to the surgical indications were included as the analysis objects.Based on the diff erence of surgical treatment schemes,the patients were divided into the traditional group and the observation group,with 40 cases in each group.The traditional group patients were treated with traditional thyroid surgery,while the observation group patients were treated with ultrasound guided microwave ablation.The therapeutic eff ect was evaluated from the therapeutic eff ect,clinical indicators,complications and Thyroid hormones indicators of the two types of surgery.Results The eff ective rate of thyroid benign tumor treatment in the observation group was higher than that in the traditional group,with a statistically significant difference(P<0.05).In terms of surgical indicators,the observation group had shorter surgical time and hospital stay than the traditional group,and the intraoperative blood output was lower than the traditional group,with a statistically signifi cant diff erence(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the traditional group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the detection of serum free Triiodothyronine(FT3),serum free Tetraiodothyronine(FT4),and Thyroid-stimulating hormone(TSH)before operation between the two groups.The FT3 and FT4 indexes of patients in the observation group after operation were higher than those in the traditional group,and the TSH indexes were lower than those in the traditional group,with a statistically signifi cant diff erence(P<0.05).Conclusion The effi cacy and safety of ultrasound-guided microwave ablation for patients with thyroid Benign tumor can meet the clinical needs and reduce the possible adverse eff ects on patients.