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外科研究与新技术 ›› 2022, Vol. 11 ›› Issue (4): 221-226.doi: 10.3969/j.issn.2095-378X.2022.04.001

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热消融技术治疗甲状腺良、恶性肿瘤的现状与展望

朱晨芳1, 陈江波1, 林庭伃2, 费健2   

  1. 1.上海交通大学医学院附属第九人民医院普外一科,上海 200011;
    2.上海交通大学医学院附属瑞金医院普外科,上海 200025
  • 收稿日期:2022-11-28 出版日期:2022-12-28 发布日期:2023-03-20
  • 通讯作者: 费 健,电子信箱:feijian@hotmail.com
  • 作者简介:朱晨芳(1977—),女,医学博士,副主任医师,从事临床普外科甲乳专业
  • 基金资助:
    上海交通大学医学院附属第九人民医院临床研究助推计划(JYLJ202016); 上海交通大学“转化医学”交叉研究基金(YG2019ZDA17),上海市卫健委科研项目(20214Y0223)

Thermal ablation in treatment of benign and malignant thyroid tumors: Current status and future perspectives

ZHU Chenfang1, CHEN Jiangbo1, LIN Tingyu2, FEI Jian2   

  1. 1. First department of General Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China;
    2. Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2022-11-28 Online:2022-12-28 Published:2023-03-20

摘要: 近年来热消融术在甲状腺良、恶性肿瘤治疗中的应用受到普遍关注。研究显示与传统手术相比,甲状腺热消融术具有微创和美容的优势。目前热消融技术在甲状腺良性肿瘤治疗中的安全性和有效性已经得到普遍证实,但在甲状腺微小乳头状癌中还存在争议。本文进行文献回顾,就不同热消融技术作用原理、治疗甲状腺良恶性肿瘤的适应证与禁忌证、安全性和有效性,以及与传统外科手术比较的优缺点进行比较和概述。

关键词: 热消融, 甲状腺良性肿瘤, 甲状腺微小乳头状癌

Abstract: In recent years the application of thermal ablation (TA) in the treatment of benign and malignant thyroid tumors has drawn wide attention. Many studies have shown that compared with traditional surgery, TA is a minimally invasive and cosmetic surgery. In particular, the safety and effectiveness of TA in the treatment of benign thyroid tumors have been generally proven, but are still controversial in the treatment of papillary thyroid microcarcinoma. This article reviewed related literature, and focused on the principles of different thermal ablation techniques, indications and contraindications for the treatment of benign and malignant thyroid tumors, the safety and effectiveness of TA, and the advantages and disadvantages of TA compared with traditional surgery.

Key words: Thermal ablation, Benign thyroid tumor, Papillary thyroid microcarcinoma

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