经峡部和经侧颈部路径微波消融甲状腺内后象限结节的比较

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Abstract Objective: To compare the clinical efficacy of the transisthmic approach and the lateral cervical approach for ultrasoundguided microwave ablation in treatment of benign thyroid nodules located in the lowerinner quadrant. Methods: A total of 142 benign thyroid nodules located in the lowerinner quadrant treated with ultrasoundguided microwave ablation were retrospectively analyzed, including 83 nodules ablated by transisthmic approach and 59 ablated by lateral cervical approach. The volume of 2% lidocaine,the volume of liquid isolating region, the ablation time, intraoperative pain score, complications, symptom score, cosmetic score, therapeutic success rates, and nodule volume reduction ratios were compared between the two groups. Results: Between the two groups, no significant differences were found in the volume of 2% lidocaine, the volume of liquid isolating region, the ablation time, intraoperative pain score, and the complications occurred after treatment, as well as the symptom scores, cosmetic scores, and therapeutic success rates at 1,3,6,12 months(P＞0.05) after treatment. No significant differences were found in nodule volume reduction ratios end points at 1,3 months(P＞0.05) after treatment. However, at 6,12 months(P＜0.05) after treatment, the volume reduction ratios of the lateral cervical approach group were higher than those of the transisthmic approach group. Conclusion: For benign nodules located in the lowerinner quadrant, the lateral cervical approach for ultrasoundguided microwave ablation can be considered.

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http://zzs.ujs.edu.cn/xbyxb/EN/ OR http://zzs.ujs.edu.cn/xbyxb/EN/Y2019/V29/I01/67

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