nykek5i 发表于 2024-6-21 19:13:45

去除甲状腺结节，“切除”和“消融”哪个好？


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/tiayy5VDDuNU9ykf5491ribe8JyChBRzeVyeicUhoIIHRAozeCmGgICicfwyw6U8jH82s9PsNHtd1Armc2PfK7v6CQ/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><img src="https://mmbiz.qpic.cn/mmbiz_png/bL2iaicTYdZn5LOrHFg0d9qKyHFTANmpz7NfPTmvsIocepB5Ze1HI5mcvNK992EzungHrVBL31RVVqkdfxvlEwAg/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/tiayy5VDDuNXVHwbXlLQnBuezKflQsFM54sicORibSG3dMWVOM9ueAw8b1JwQOYxfQvtlLPcR5scCguyXVvhV04mQ/640?wx_fmt=jpeg&amp;wx_co=1&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">河北省中医院&nbsp; &nbsp;周颖&nbsp;&nbsp;</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">周颖<span style="color: black;">专家</span><span style="color: black;">善于</span>甲状腺良性结节、甲状腺微小乳头状癌、颈部淋巴结转移癌、甲旁亢、乳腺良性结节、非哺乳期乳腺炎,肝脏,肾脏等<span style="color: black;">疾患</span>的实体瘤热消融治疗。</span><span style="color: black;">在河北省中医院外一科从事消融工作,4年间共参与完成<span style="color: black;">包含</span>甲状腺良性结节、甲状腺微小乳头状癌、颈部淋巴结转移癌、甲旁亢、乳腺良性结节、非哺乳期乳腺炎,肝脏,肾脏等<span style="color: black;">疾患</span>的实体瘤热消融治疗1500余例，其中术者280余例,<span style="color: black;">第1</span>助手900余例。独立完成全院多个临床科室实体瘤/淋巴结超声引导穿刺取病理1000余例 ,穿刺<span style="color: black;">精细</span>,最小穿刺直径2mm,穿刺<span style="color: black;">没</span>差错。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺结节是临床极为<span style="color: black;">平常</span>的<span style="color: black;">状况</span>，人群中检出率<span style="color: black;">达到</span>50%，其中大部分结节为良性。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span>人认为查出良性结节并不是什么大问题，只要<span style="color: black;">无</span>身体不适就<span style="color: black;">能够</span><span style="color: black;">不消</span>处理，殊不知甲状腺良性结节<span style="color: black;">亦</span>可能会<span style="color: black;">逐步</span>变化，当病情不受<span style="color: black;">掌控</span>时，还会有<span style="color: black;">成长</span>或癌变等不良后果。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/tiayy5VDDuNVOjNVoGXwzhCFg9z370IAZVOhPwagLfYibPWUMX1VHG2sUt64AKMOKPsu9ic36yKVoALhjzeWjbz4w/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺结节有<span style="color: black;"><strong style="color: blue;">5%～10%</strong></span>为恶性肿瘤，<span style="color: black;">少许</span>可<span style="color: black;">导致</span>甲状腺功能亢进，或<span style="color: black;">导致</span>局部压迫，或影响外观。<span style="color: black;">非常多</span>人查出结节，并为此而忧心忡忡，想要一刀处理以防变成“甲状腺癌”。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">这儿</span><span style="color: black;">咱们</span>提醒：<span style="color: black;"><strong style="color: blue;">不是所有甲状腺结节都<span style="color: black;">必须</span>切除治疗。甲状腺结节<span style="color: black;">是不是</span><span style="color: black;">必须</span>手术，应当<span style="color: black;">按照</span>结节的<span style="color: black;">体积</span>、性质等<span style="color: black;">原因</span>来进行判断。</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺结节<span style="color: black;">倘若</span>本身为良性并且<span style="color: black;"><strong style="color: blue;">比较小，<span style="color: black;">无</span>产生压迫的症状，</strong></span>这种<span style="color: black;">状况</span>不会对<span style="color: black;">病人</span>的身体产生任何的影响，<span style="color: black;">能够</span><span style="color: black;">不消</span>进行特殊处理。<span style="color: black;">倘若</span>结节<span style="color: black;"><strong style="color: blue;">比<span style="color: black;">很强</span>，<span style="color: black;">已然</span>产生压迫症状，</strong></span><span style="color: black;">必须</span><span style="color: black;">经过</span>外科手术的方式来进行切除。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺结节的<span style="color: black;">重点</span>治疗<span style="color: black;">办法</span>是手术治疗，但<span style="color: black;">拥有</span>创伤大、切除范围广、并发症多等局限性。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/tiayy5VDDuNVOjNVoGXwzhCFg9z370IAZSv9BwG9TTnlABt2ickaDrOWqmlPf4oWibQAGicSQ7XWZ739GIjVrAPQFw/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p><span style="color: black;"><span style="color: black;">能够</span>不开刀就消除结节吗？</span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺结节消融术是一种新型的治疗甲状腺结节的手术方式，甲状腺结节微波消融术<span style="color: black;">重点</span>是在超声引导下将热消融针刺入甲状腺结节中心，<span style="color: black;">经过</span>发出微波热效应致使甲状腺结节变性坏死的过程，坏死组织随后被机体消化吸收。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">消融治疗术以微波消融、射频消融、激光消融及高强度聚焦超声为<span style="color: black;">表率</span>，属于微创治疗。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/tiayy5VDDuNVOjNVoGXwzhCFg9z370IAZpwibQaNicvdrdz9sxrA755USvbV7BiaxlkeicVDgEqAEg3XyOaeJGdhWOQ/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">去除甲状腺结节</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">“切”和“消”哪个好?</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺结节切除术是治疗甲状腺结节的一种<span style="color: black;">办法</span>，恶性肿瘤、结节性甲状腺肿内科治疗<span style="color: black;">没</span>效后<span style="color: black;">思虑</span>手术治疗。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">按照</span>手术切除的范围和结节的<span style="color: black;">体积</span>，甲状腺手术术后可能<span style="color: black;">显现</span><span style="color: black;">有些</span>并发症（伤口愈合不良；手术<span style="color: black;">导致</span>声嘶、<span style="color: black;">呼气</span>困难、抽搐等；术后甲功<span style="color: black;">反常</span>等）。</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺结节的消融治疗的优点有：</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">操作方便、可重复性强。</strong></p><strong style="color: blue;">
      <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">损毁肿瘤组织程度<span style="color: black;">靠谱</span>，对<span style="color: black;">周边</span>组织<span style="color: black;">损害</span>小。</p>
      <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">创伤小、见效快、甲状腺功能<span style="color: black;">保存</span>好。</p>并发症少且程度较轻。
    </strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">虽然消融治疗有<span style="color: black;">许多</span>优点，但应用<span style="color: black;">必须</span>有指征：<span style="color: black;"><strong style="color: blue;">消融治疗的甲状腺结节<span style="color: black;">必要</span>是良性肿瘤。有手术禁忌或<span style="color: black;">病人</span><span style="color: black;">剧烈</span>拒绝手术治疗、结节穿刺病理为良性病变者<span style="color: black;">能够</span><span style="color: black;">思虑</span>消融治疗。</strong></span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/tiayy5VDDuNVOjNVoGXwzhCFg9z370IAZbUdvYThDdEkzdGxJGIAnTn9ribwOmQ01Pr3Z1Ok1u6AloflYHc0zlnA/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></strong></span></span></p>什么样的结节<span style="color: black;">必须</span>手术治疗？<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺恶性结节最<span style="color: black;">重点</span>的治疗手段<span style="color: black;">便是</span>手术，一经确诊<span style="color: black;">就可</span>手术治疗。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">甲状腺良性结节的手术指征：</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">显现</span>与结节<span style="color: black;">显著</span><span style="color: black;">关联</span>的局部压迫症状。</strong></p><strong style="color: blue;">
      <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">合并甲亢，内科治疗<span style="color: black;">没</span>效。</p>结节<span style="color: black;">位置于</span>胸骨后或纵隔内。
    </strong>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在随访过程中<span style="color: black;">发掘</span><span style="color: black;"><strong style="color: blue;">结节增大（体积改变＞50%或<span style="color: black;">最少</span>两个方位的尺寸<span style="color: black;">增多</span>20%且<span style="color: black;">最少</span><span style="color: black;">增多</span>2毫米）</strong></span>，临床<span style="color: black;">思虑</span>有<span style="color: black;"><strong style="color: blue;">恶变倾向或合并甲状腺癌</strong></span>高危<span style="color: black;">原因</span>。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/tiayy5VDDuNVOjNVoGXwzhCFg9z370IAZpW0ICRujbhPCLfI27mLibkBwCzH9MEf5xVapbpXsnfT449IhxvAKLbw/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">其他<span style="color: black;">状况</span>，如良性囊性结节增大或复发的<span style="color: black;">病人</span>，<span style="color: black;">按照</span>症状和美容<span style="color: black;">原因</span>可<span style="color: black;">思虑</span>行手术治疗。性质未定的甲状腺结节<span style="color: black;">很强</span>（＞4厘米）、活检提示不典型改变的<span style="color: black;">能够</span>手术治疗。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWiagtNsA9I4hLQYswA44VIQuvweaGE0UqsUvtrgFRAf2GUIbRpzicBCDgT0Nt251M49mJdCPWiasEpDQ/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWhaTeG2u7bEwF1HJNXbF7yjF31xjcw08QicH4pQmia7aCZIIkpeTCEoFq322oy3JA3KAiasfm7MK0V3A/640?wx_fmt=png&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1&amp;tp=webp" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">往期回顾</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">甲状腺肿大是怎么回事？怎么判断自己是不是甲状腺肿大？</a></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">感谢广大粉丝对我院<span style="color: black;">始终</span><span style="color: black;">败兴</span>的关注与信赖，为您<span style="color: black;">看病</span>节省时间，<span style="color: black;">供给</span><span style="color: black;">更加多</span><span style="color: black;">方便</span>，您可扫描二维码或长按识别，<span style="color: black;">咱们</span>将全心全意为您的健康保驾护航！</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/tiayy5VDDuNXVHwbXlLQnBuezKflQsFM5e4oeUy5k3ykZNvlia2n5gN04WIQNiae36jbPHbB8114jEg3ib8YlHersg/640?wx_fmt=png&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1&amp;tp=webp" style="width: 50%; margin-bottom: 20px;"></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/bL2iaicTYdZn7dw42Ie0jEr6TNsITRL9g9AokgU7t6aQ0VYbmZ70jjht4ILGO9yAFqAdnwyjjEejX5Z4AIHP8Dgw/640?wx_fmt=gif&amp;wxfrom=5&amp;wx_lazy=1&amp;tp=webp" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/bL2iaicTYdZn5aEZHyV2j0PbCh4LCsBovgsHBjAr1yVQBdiar75ia1dgR4n7PPcLOErbE9QgKVSWb8JMRQamotcviaQ/640?wx_fmt=gif&amp;wxfrom=5&amp;wx_lazy=1&amp;tp=webp" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">医院<span style="color: black;">位置</span>：石家庄市中山东路389号</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">咨询<span style="color: black;">tel</span>：17734572670（8：00-18：00）</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">西院区<span style="color: black;">位置</span>：石家庄市西三庄街32号</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">咨询<span style="color: black;">tel</span>：17734572670（8：00-18：00）</p>
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