외과의사에 의해 시행된 양성 갑상선 결절의 고주파 절제

오래영; 최은혜; 성치원; 박영삼; 김철승; 한규담

추천

검색

자료유형: 학술저널

저자정보: 오래영 최은혜 성치원 박영삼 김철승 한규담

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제12권 제4호

발행연도: 2012.1

수록면: 244 - 251 (8page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: The ability to apply radiofrequency ablation (RFA) has provided for a greater diversity of approaches for treatment of benign thyroid nodules. This study evaluated the efficacy and safety of RFA performed by a surgeon. Methods: From January 2009 to November 2010, a total of 47 benign thyroid nodules were treated with RFA performed by one surgeon. Nodular patterns were divided into mainly cystic, mixed, and mainly solid (soft solid, hard solid) nodules, and ultrasonography was performed for assessment of the volume-reduction radio (VRR) of each nodule. Follow-up ultrasonography was performed three to 19 months after ablation. And complication was observed. One session of RFA was performed. Results: The median volume before ablation was 7.8 cm3 (range 1.3∼43.2 cm3). After ablation, the median volume was 0.9 cm3 (range 0.0-21.6 cm3) and VRR was 81.5±17.3%. RFA in mainly cystic nodules resulted in significant decreases in VRR (93.7±5.0%, P=0.009). It was the largest among the nodular types. VRR was 81.4±13.1% in mixed nodules, 77.2±19.2% in mainly solid nodules, 85.9±11.0% in soft solid nodules, and 54.2±17.3% in hard solid nodules 95.7% of nodules (45 nodules) showed more than 50% reduction, while the two remaining nodules, which were hard solid nodules, showed less than 50% reduction. Complications included pain, voice change, nausea, and transient voice change. Conclusion: Results of this study demonstrated the safety and effectiveness of RFA performed by a surgeon for reducing nodule volume.

#양성 갑상선 결절 #고주파 절제 #외과의사 #Benign thyroid nodule #Radiofrequency ablation #RFA) #Surgeon

참고문헌 (20)

참고문헌 신청

/ / Task Force Team Recommendation of thyroid nodule with RFA The Korean Society of Radiology

Bennedbaek FN / 1997 / Percutaneous ethanol injection therapy in the treatment of thyroid and parathyroid diseases / Eur J Endocrinol 136 : 240 ~ 250

Bennedbaek FN / 2000 / Management of the solitary thyroid nodule: results of a North American survey / J Clin Endocrinol Metab 85 : 2493 ~ 2498

Bonnema SJ / 2000 / Management of the nontoxic multinodular goitre: a European questionnaire study / Clin Endocrinol (Oxf) 53 : 5 ~ 12

Bonnema SJ / 2002 / Management of the nontoxic multinodular goiter: a North American survey / J Clin Endocrinol Metab 87 : 112 ~ 117