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논문 기본 정보

자료유형
학술저널
저자정보
이민경 (가톨릭대학교) 백정환 (Asan Medical Center) 정새롬 (Asan Medical Center) 최영준 (울산대학교) 이유미 (University of Ulsan College of Medicine) 김태용 (울산대학교) 이정현 (울산대학교)
저널정보
대한내분비학회 Endocrinology and Metabolism Endocrinology and Metabolism Vol.35 No.2
발행연도
2020.1
수록면
407 - 415 (9page)

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Background: Although radiofrequency ablation (RFA) is a safe treatment for thyroid tumors, nerve damage is a frequent complication. A previous retrospective study suggested that an injection of cold 5% dextrose in water (5% DW) can reduce nerve damageduring RFA. This study validated the efficacy of injecting cold 5% DW for management of nerve damage during RFA. Methods: Between November 2017 and December 2018, 242 patients underwent 291 RFA sessions for treatment of benign thyroidnodules or recurrent thyroid cancers. Using a standardized technique, cold (0°C to 4°C) 5% DW was immediately injected aroundthe damaged nerve into patients with any symptoms suggesting nerve damage. The incidence of nerve damage, the volume of 5%DW injected, symptom recovery time and the incidence of permanent nerve damage were evaluated. Results: Nineteen patients experienced nerve damage symptoms related to 21 RFA sessions, including 17 patients during 19 sessions and two patients on the day after two sessions. Patients with nerve damage symptoms detected during RFA were treated by injection of a mean 41 mL (range, 3 to 260) cold 5% DW, but the two patients who experienced symptoms the next day did not receivecold 5% DW injections. Immediate recovery was observed after 15 RFA sessions in 14 patients. No patient experienced permanentnerve damage. Conclusion: Injection of cold 5% DW is effective in managing nerve damage during RFA of thyroid lesions.

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