颈部无疤痕的甲状腺结节治疗，消融可以做到！

Thermal ablation of thyroid nodules，a scarless surgery on neck!

有了甲状腺结节，想要治疗，又不想留下颈部疤痕，怎么办？这是困扰很多甲状腺结节患者的问题。

There is a problem that plagues many patients with thyroid nodules: whether a treatment existed which could treat thyroid nodules without leaving scars on neck?

什么叫甲状腺结节？

What is a thyroid nodule?

甲状腺结节是指在甲状腺内的肿块，可由碘摄入量、甲状腺退行性变、炎症、自身免疫等多种病变所致。甲状腺结节可以单发，也可以多发，多发结节比单发结节的发病率高。

Thyroid nodule refers to an abnormal growth of thyroid cells that forms a lump within the thyroid gland, which can be caused by excessive iodine intake, thyroid degeneration, inflammation, autoimmunity, and other disease. Thyroid nodules are a very common clinical finding which can be single or multinodular and multiple nodules incidence rate is higher than that of solitary nodules.

甲状腺结节的常见症状

Common symptoms of thyroid nodule

甲状腺结节中85%-95%为良性，其中大部分良性结节生长缓慢、无临床症状，仅需定期复查。而对于结节生长较快引起外观和疼痛等症状以及存在恶变可能的患者，则需进一步治疗。主要的临床症状为：

（1）颈前区不适；

（2）颈部肿大，影响美观；

（3）严重者压迫气管，影响呼吸。

Approximately 85 to 95% of thyroid nodules are benign, with most of them grow slowly and have no clinical symptoms, which only need regular follow-up. However, some symptomatic or malignant cystic thyroid nodules may need treatment. The main clinical symptoms were:

（1） discomfort of anterior cervical region;

（2） Enlargement of the neck which affecting the appearance;

（3） severe pressure on the trachea which affecting breathing.

哪些甲状腺结节需要治疗？

Which thyroid nodules need to be treated?

甲状腺结节大于1.5cm，颈部肿块压迫气管出现影响呼吸和睡眠或者排除其他因素的顽固性咳嗽、出现吞咽困难、甲状腺结节短期内突然增大伴有疼痛、颈部肿块外凸明显、甲状腺术后复发者、担心恶变强烈要求治疗、男性甲状腺结节患者。

Thyroid nodules with the diameter larger than 1.5cm; Neck mass oppresses trachea and affects breathing and sleep; Intractable cough excluding other factors; Dysphagia occurred; Sudden enlargement of thyroid nodules with pain in a short time; The neck mass protruded obviously; Recurrence after thyroidectomy; Patients with strong demand for treatment due to the fear of malignant transformation; Male patients with thyroid nodules.

消融治疗甲状腺结节的优势

Advantages of thermal ablation for thyroid nodules

甲状腺结节既往以手术治疗为主，消融治疗是继外科切除之后又一种具有治愈潜力的介入性微创治疗技术。超声引导下甲状腺结节射频消融治疗技术，是在超声引导下，经皮肤穿刺，将电极针直接刺入肿瘤组织中，在高频交变电流作用下，肿瘤组织内离子或水分子、蛋白质分子等极性分子互相摩擦、碰撞，产生生物热效应，使肿瘤区域温度达到65℃-95℃，造成肿瘤细胞凝固性坏死，进而达到彻底杀灭肿瘤的目标。超声引导下甲状腺结节射频消融治疗技术，具有如下优势：

（1）安全：风险小，不易损伤甲状旁腺及周围组织结构；

（2）有效性：一次可以治疗多个结节，且消融灶吸收率高；

（3）保护甲状腺功能：大部分患者术后无需服用甲状腺素；

（4）精准治疗：在超声引导下进行高度选择治疗，最大限度消灭结节；

（5）美观：术后颈部无疤痕，病人恢复快，消融针眼术后2-3天就完全愈合，满足人们对美观的需求；

（6）简便快捷，病人痛苦小，术后恢复快，住院时间短；

（7）可重复操作。

Currently, surgical treatment is the main treatment for thyroid nodules. Thermal ablation is a new minimally invasive interventional treatment for thyroid nodules. Ultrasound guided radiofrequency ablation is performed under the guidance of ultrasound. The electrode is directly inserted into the tumor tissue through skin puncture. Under the action of high frequency alternating current, ions, water molecules, protein molecules and other polar molecules in tumor tissue rub and collide with each other to produce bio thermal effect, which makes the temperature of tumor area reach to 65 ℃ - 95 ℃, resulting in coagulation necrosis of tumor cells. Ultrasound guided radiofrequency ablation of thyroid nodules has the following advantages:

（1） Safe: low risk of complications, can protect the function of parathyroid gland and surrounding tissues;

（2） Effective: multiple nodules can be treated at one time, and the absorption rate of ablation lesions is high;

（3） Protection of thyroid function: most patients do not need to take thyroxine after ablation;

（4） Precision therapy: under the guidance of ultrasound, highly selective ablation can be performed to eliminate nodules;

（5） Beautiful: no scar on the neck after ablation, the patient recovered in 2-3 days after ablation, which met people's demand for beauty;

（6） The process is simple and quick, with less pain, faster recovery, and shorter hospitalization time;

（7） Repeatable operation.

仁济医院肿瘤介入科

仁济医院肿瘤介入科成立于2013年7月，现开放床位62张。主要开展肿瘤局部消融、血管栓塞化疗以及胆道支架植入等介入治疗。李萍主任治疗组每年约收治患者约1500余例。主要治疗范围为甲状腺结节、乳腺良性结节、子宫肌瘤和肝脏血管瘤、肝恶性肿瘤等热消融治疗、肝肾囊肿和卵巢囊肿等化学消融治疗。

The Department of Interventional Oncology of Renji Hospital was established in July 2013 and currently has 62 beds. Mainly carry out interventional treatments such as local tumor ablation, vascular embolization chemotherapy, and biliary stent implantation. Director Li Ping's treatment group receives approximately 1,500 patients each year. The main treatment scope is thyroid nodules, benign breast nodules, uterine fibroids and liver hemangioma, liver malignant tumors and other thermal ablation treatments, liver and kidney cysts and ovarian cysts and other chemical ablation treatments.

李萍，女，主任医师，从医20余年，具有丰富的超声引导下甲状腺消融临床治疗经验，疗效和安全性均居国内领先水平，目前已发表SCI文章近10篇。
Li Ping, female, chief physician, has been a physcian for more than 20 years. She has rich clinical experience in ultrasound-guided thyroid ablation. The efficacy and safety are both at the leading level in China. She has published nearly 10 SCI articles.