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Radiofrequency ablation of functioning and non-functioning thyroid nodules: a single institution 12-month survey.
Journal of Endocrinological Investigation ( IF 3.9 ) Pub Date : null , DOI: 10.1007/s40618-019-01132-4
C Cappelli 1 , F Franco 2 , I Pirola 1 , E Gandossi 1 , F Marini 1 , E Di Lodovico 1 , C Casella 3 , D Lombardi 4 , A Cristiano 1 , A Ferlin 1 , M Castellano 1
Affiliation  

PURPOSE Radiofrequency (RF) treatment has played an increasing role in the management of benign thyroid nodules in recent years. The aim of this retrospective study was to evaluate the efficacy of RF treatment on volume reduction in functioning and non-functioning thyroid nodules. PATIENTS AND METHODS We reviewed the medical records of patients who had thyroid nodule RF ablation at our department between August 2017 and May 2018. Patients underwent a periodical follow-up with ultrasound examinations and thyroid function tests at 1, 3, 6 and 12 months from RF. Complications were assessed using the reporting standards of Interventional societies. RESULTS 43 patients were submitted to thyroid nodule RF ablation treatment. Patients were subdivided into two groups, those with functioning (17 patients) or non-functioning nodules. At baseline (i.e. pre-RF treatment), the two groups of patients were superimposable for gender, age, BMI, nodule volume and maximum nodule diameter. The volume reduction of all 43 nodules was 69.1 ± 17.3% (range 26.0-94.5%) with no difference between functioning and non-functioning lesions (72.9 ± 18.1% vs 66.7 ± 16.7%, p = 0.254). A total energy delivered per nodule was 16.5 ± 6.8 kJ, with no difference between functioning and non-functioning lesions (14.5 ± 7.2 kJ vs. 18.2 ± 6.3 kJ, p = 0.083, respectively). No major complications were observed. CONCLUSIONS Radiofrequency ablation is a clinically effective and safe outpatient treatment in patients with benign nodules. In particular, we showed that a single treatment is effective in restoring euthyroidism in patients with autonomously functioning thyroid nodules.

中文翻译:

功能性和无功能性甲状腺结节的射频消融:一项为期 12 个月的单一机构调查。

目的 近年来,射频 (RF) 治疗在良性甲状腺结节的治疗中发挥着越来越重要的作用。这项回顾性研究的目的是评估射频治疗对功能性和非功能性甲状腺结节体积减少的疗效。患者与方法 我们回顾了 2017 年 8 月至 2018 年 5 月在我科接受甲状腺结节射频消融的患者的病历。患者在术后 1、3、6 和 12 个月接受了定期超声检查和甲状腺功能检查。射频。使用干预协会的报告标准评估并发症。结果 43例患者接受甲状腺结节射频消融治疗。患者被分为两组,有功能性结节(17 名患者)或无功能性结节。在基线(即 射频治疗前),两组患者的性别、年龄、BMI、结节体积和最大结节直径可叠加。所有 43 个结节的体积减少为 69.1 ± 17.3%(范围 26.0-94.5%),功能性和非功能性病变之间没有差异(72.9 ± 18.1% vs 66.7 ± 16.7%,p = 0.254)。每个结节传递的总能量为 16.5 ± 6.8 kJ,功能性和非功能性病变之间没有差异(分别为 14.5 ± 7.2 kJ 与 18.2 ± 6.3 kJ,p = 0.083)。未观察到重大并发症。结论射频消融是良性结节患者临床上安全有效的门诊治疗方法。特别是,我们发现单一治疗可有效恢复具有自主功能甲状腺结节的患者的甲状腺功能正常。两组患者的性别、年龄、BMI、结节体积和最大结节直径可重叠。所有 43 个结节的体积减少为 69.1 ± 17.3%(范围 26.0-94.5%),功能性和非功能性病变之间没有差异(72.9 ± 18.1% vs 66.7 ± 16.7%,p = 0.254)。每个结节传递的总能量为 16.5 ± 6.8 kJ,功能性和非功能性病变之间没有差异(分别为 14.5 ± 7.2 kJ 与 18.2 ± 6.3 kJ,p = 0.083)。未观察到重大并发症。结论射频消融是良性结节患者临床上安全有效的门诊治疗方法。特别是,我们发现单一治疗可有效恢复具有自主功能甲状腺结节的患者的甲状腺功能正常。两组患者的性别、年龄、BMI、结节体积和最大结节直径可重叠。所有 43 个结节的体积减少为 69.1 ± 17.3%(范围 26.0-94.5%),功能性和非功能性病变之间没有差异(72.9 ± 18.1% vs 66.7 ± 16.7%,p = 0.254)。每个结节传递的总能量为 16.5 ± 6.8 kJ,功能性和非功能性病变之间没有差异(分别为 14.5 ± 7.2 kJ 与 18.2 ± 6.3 kJ,p = 0.083)。未观察到重大并发症。结论射频消融是良性结节患者临床上安全有效的门诊治疗方法。特别是,我们发现单一治疗可有效恢复具有自主功能甲状腺结节的患者的甲状腺功能正常。结节体积和最大结节直径。所有 43 个结节的体积减少为 69.1 ± 17.3%(范围 26.0-94.5%),功能性和非功能性病变之间没有差异(72.9 ± 18.1% vs 66.7 ± 16.7%,p = 0.254)。每个结节传递的总能量为 16.5 ± 6.8 kJ,功能性和非功能性病变之间没有差异(分别为 14.5 ± 7.2 kJ 与 18.2 ± 6.3 kJ,p = 0.083)。未观察到重大并发症。结论射频消融是良性结节患者临床上安全有效的门诊治疗方法。特别是,我们发现单一治疗可有效恢复具有自主功能甲状腺结节的患者的甲状腺功能正常。结节体积和最大结节直径。所有 43 个结节的体积减少为 69.1 ± 17.3%(范围 26.0-94.5%),功能性和非功能性病变之间没有差异(72.9 ± 18.1% vs 66.7 ± 16.7%,p = 0.254)。每个结节传递的总能量为 16.5 ± 6.8 kJ,功能性和非功能性病变之间没有差异(分别为 14.5 ± 7.2 kJ 与 18.2 ± 6.3 kJ,p = 0.083)。未观察到重大并发症。结论射频消融是良性结节患者临床上安全有效的门诊治疗方法。特别是,我们发现单一治疗可有效恢复具有自主功能甲状腺结节的患者的甲状腺功能正常。5%),功能性和非功能性病变之间没有差异(72.9 ± 18.1% vs 66.7 ± 16.7%,p = 0.254)。每个结节传递的总能量为 16.5 ± 6.8 kJ,功能性和非功能性病变之间没有差异(分别为 14.5 ± 7.2 kJ 与 18.2 ± 6.3 kJ,p = 0.083)。未观察到重大并发症。结论射频消融是良性结节患者临床上安全有效的门诊治疗方法。特别是,我们发现单一治疗可有效恢复具有自主功能甲状腺结节的患者的甲状腺功能正常。5%),功能性和非功能性病变之间没有差异(72.9 ± 18.1% vs 66.7 ± 16.7%,p = 0.254)。每个结节传递的总能量为 16.5 ± 6.8 kJ,功能性和非功能性病变之间没有差异(分别为 14.5 ± 7.2 kJ 与 18.2 ± 6.3 kJ,p = 0.083)。未观察到重大并发症。结论射频消融是良性结节患者临床上安全有效的门诊治疗方法。特别是,我们发现单一治疗可有效恢复具有自主功能甲状腺结节的患者的甲状腺功能正常。未观察到重大并发症。结论射频消融是良性结节患者临床上安全有效的门诊治疗方法。特别是,我们发现单一治疗可有效恢复具有自主功能甲状腺结节的患者的甲状腺功能正常。未观察到重大并发症。结论射频消融是良性结节患者临床上安全有效的门诊治疗方法。特别是,我们发现单一治疗可有效恢复具有自主功能甲状腺结节的患者的甲状腺功能正常。
更新日期:2020-03-12
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