实性良性甲状腺结节的射频消融

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Yoon-Jin Kim MD , Aparna Baheti MD , Timothy C. Huber MD
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引用次数: 1

摘要

有症状的实性良性甲状腺结节可能表现为无功能结节,引起压迫症状,也可能表现为功能亢进结节,引起甲亢症状。虽然可以对这些结节进行手术切除或放射性碘消融,但经皮射频消融(RFA)对良性甲状腺实性结节已被证明是一种安全有效的选择。术前评估应包括以甲状腺功能障碍体征和症状为重点的病史,体格检查,甲状腺超声检查,甲状腺功能检查,并与患者讨论关键的术中细节,如麻醉计划和风险。甲状腺射频消融术可以作为门诊手术安全进行,主要和次要并发症发生率低于2%。本报告将着重于对有症状的甲状腺结节进行射频消融的基本技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radiofrequency Ablation of Solid Benign Thyroid Nodules

Symptomatic solid benign thyroid nodules may present either as nonfunctioning nodules causing compressive symptoms or as hyperfunctioning nodules causing symptoms of hyperthyroidism. While surgical resection or radioiodine ablation of these nodules can be performed, percutaneous radiofrequency ablation (RFA) of benign solid thyroid nodules has been shown to be a safe and effective alternative in select patients. Preprocedural evaluation should include a history focusing on signs and symptoms of thyroid dysfunction, a physical exam, thyroid ultrasound, thyroid function tests, and discussion of key intraprocedural details with the patient such as the anesthesia plan and risks. Thyroid RFA can be safely performed as an outpatient procedure with less than 2% major and minor complication rates. This report will focus on the basic technique of performing RFA for symptomatic thyroid nodules.

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来源期刊
Techniques in Vascular and Interventional Radiology
Techniques in Vascular and Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.70
自引率
0.00%
发文量
47
期刊介绍: Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.
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