国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (8): 1258-1260.DOI: 10.3760/cma.j.cn441417-20241114-08006

• 医学新进展 • 上一篇    下一篇

超声引导下射频消融治疗甲状腺微小乳头状癌的研究进展

李强   

  1. 天津市北辰医院普外科,天津 300400

  • 收稿日期:2024-11-14 出版日期:2025-04-15 发布日期:2025-04-20
  • 通讯作者: Email: tjbcyylq@qq.com
  • 基金资助:

    天津市北辰区科研计划(SHGY-2023010)

Research progress of ultrasound-guided radiofrequency ablation in treatment of thyroid micropapillary carcinoma

Li Qiang   

  1. Tianjin Beichen Hospital, Department of General Surgery, Tianjin 300400, China

  • Received:2024-11-14 Online:2025-04-15 Published:2025-04-20
  • Contact: Email: tjbcyylq@qq.com
  • Supported by:

    Scientific Research Plan at Beichen District, Tianjin (SHGY-2023010)

摘要:

甲状腺乳头状癌(papillary thyroid carcinoma,PTC)发病率逐年上升,其中甲状腺微小乳头状癌(papillary thyroid micro-cancer,PTMC)检出率因医疗检测技术进步而显著增加。PTMC侵袭性低,生存率高,但最佳治疗方式存在争议。传统甲状腺切除术可能导致并发症。因此,射频消融(radio frequency ablation,RFA)作为新型治疗手段备受关注。RFA利用高温破坏癌变组织,具有微创、低并发症发生率的特点。多项研究证实了RFA治疗PTMC的效果和安全性,且长期随访结果显示完全消失率高,无局部肿瘤进展。此外,RFA治疗复发性甲状腺癌也有一定优势。因此,RFA已成为治疗PTMC传统手术的有效替代方案。

关键词:

 , 热消融;甲状腺叶切除术;甲状腺微小乳头状癌;进展

Abstract:

The incidence rate of papillary thyroid carcinoma (PTC) has been rising annually, with a notable increase in the detection rate of papillary thyroid microcarcinoma (PTMC) due to advancements in medical detection technology. PTMC is characterized by low aggressiveness and a high survival rate, but there is controversy regarding the optimal treatment approach. Traditional thyroidectomy may lead to complications. Radiofrequency ablation (RFA) has garnered significant attention as a novel therapeutic method. RFA utilizes high temperatures to destroy cancerous tissue, with minimal invasion and a low complication rate. Studies have confirmed the efficacy and safety of RFA for treating PTMC, and the long-term follow-up results demonstrated a high rate of complete disappearance and no local tumor progression. Additionally, RFA has some advantages in the treatment of recurrent thyroid cancer. Therefore, RFA has emerged as an effective alternative to traditional surgery for the treatment of PTMC

Key words:

Thermal ablation, Thyroidectomy, Thyroid micropapillary carcinoma, Progress