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目的探讨射频消融治疗甲状腺疾病的临床效果。方法选取濮阳市油田总医院2014年6月—2015年6月收治的甲状腺疾病患者120例,均应用射频消融治疗,分析其治疗效果、并发症及满意度。结果治疗后甲状腺腺瘤、甲状腺结节、甲状腺增生、乳头状小癌、未分化癌患者的治愈率均高达100.0%,滤泡状癌、乳头状癌治愈率分别为87.5%(7/8)和80.0%(4/5)。1例乳头状癌患者和1例滤泡状癌患者出现复发,进行了二次治疗。患者均未出现皮肤烧伤、食管穿孔、气管损伤、声音嘶哑、神经损伤等并发症。出现颈部疼痛3例,停止手术后疼痛得到有效缓解;穿刺位置出现皮肤红肿1例,经临床治疗后症状消失。经问卷调查得知患者对治疗表示满意118例,满意度达98.3%。结论射频消融治疗甲状腺疾病患者临床疗效显著,并发症及复发率较低,患者满意度高,值得临床推广应用。
Objective To investigate the clinical effect of radiofrequency catheter ablation on thyroid diseases. Methods Totally 120 patients with thyroid diseases were selected from General Hospital of Puyang Oilfield from June 2014 to June 2015. All patients were treated with radiofrequency catheter ablation. The therapeutic effects, complications and satisfaction were analyzed. Results The cure rates of thyroid adenoma, thyroid nodules, thyroid hyperplasia, papillary carcinoma and undifferentiated carcinoma were as high as 100.0% after treatment. The cure rates of follicular carcinoma and papillary carcinoma were 87.5% (7/8) And 80.0% (4/5). One case of papillary carcinoma and one case of follicular carcinoma developed recurrence and were treated twice. No skin burns, esophageal perforation, tracheal injury, hoarseness, nerve injury and other complications occurred in all patients. There were 3 cases of neck pain, the pain was effectively relieved after surgery was stopped; 1 case of skin irritation occurred at the puncture site, and the symptoms disappeared after the clinical treatment. After the questionnaire that patients were satisfied with the treatment of 118 cases, the satisfaction rate of 98.3%. Conclusions Radiofrequency catheter ablation in treatment of thyroid disease patients with significant clinical efficacy, complications and recurrence rate is low, patients with high satisfaction, it is worthy of clinical application.