Ultrasound-guided percutaneous ethanol injection combined with microwave ablation for treatment of thyroid benign partially cystic masses / 中国医学影像技术
Chinese Journal of Medical Imaging Technology
; (12): 32-36, 2024.
Article
Dans Zh
| WPRIM
| ID: wpr-1026273
Responsable en Bibliothèque :
WPRO
ABSTRACT
Objective To observe the value of ultrasound-guided percutaneous ethanol injection(PEI)combined with microwave ablation(MWA)for treating thyroid benign partially cystic masses.Methods A total of 100 patients with single benign partially cystic mass who would undergo ultrasound-guided ablation treatment were prospectively enrolled.The patients were randomly assigned into PEI group(received PEI combined with MWA sequential ablation)or control group(received simple MWA),each n=50.Data before and after treatments were compared within groups,the therapeutic efficacy were compared between groups after treatments,and the value of sequential ablation was analyzed.Results Ultrasound-guided ablation was successfully performed for all 100 masses.During follow-up,5 cases in PEI group and 3 cases in control group were lost.The operation time of MWA,total MWA energy and patients'pain level during treatments in PEI group were all lower than those in control group(all P<0.05).Significant difference of thyroid mass volumes were found before and 3,6 and 12 months after treatments in both groups(all P<0.05).The volume reduction rate(VRR)in PEI group before and 1,3,6 and 12 months after treatments were all higher than that in control group(all P<0.05).The success rate was 95.56%(43/45)in PEI group and 89.36%(42/47)in control group 12 months after treatments,respectively,without significant difference(P=0.451).There were significant differences of neck aesthetics scores and symptom scores before and 3,6 and 12 months after treatments in both groups(all P<0.05).The incidence of complications in PEI group was 6.67%(3/45),while in control group was 14.89%(7/47),the former was lower than the latter(P<0.05).Conclusion Ultrasound-guided PEI combined with MWA sequential ablation had better effect for treating thyroid benign partially cystic masses than single MWA.
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WPRIM
langue:
Zh
Texte intégral:
Chinese Journal of Medical Imaging Technology
Année:
2024
Type:
Article