Progress of ultrasound-guided interventional therapy for the treatment of papillary microcarcinoma of the thyroid and postoperative cervical metastatic lymph node
甲状腺微小乳头状癌(papillary microcarcinoma of the thyroid,PTMC)的检出率不断上升,对于一般患者,首选治疗方式为外科手术切除。继颈部开放手术、腔镜手术、积极监控观察之后,对于部分患者,超声引导下的介入治疗技术逐渐应用于PTMC原发灶及术后颈部转移淋巴结的治疗中,并因微创、实时动态、无辐射损伤等优点,大多取得良好的治疗效果。但介入技术本身的局限也让其对PTMC的治疗饱受争议,本文主要介绍热消融、化学消融、放射性碘粒子植入等介入技术在PTMC治疗中的应用现状及研究进展。
Abstract
The detection rate of papillary microcarcinoma of the thyroid (PTMC) increases continuously. For patients
surgical resection is the preferred treatment. Following the open neck surgery
endoscopic surgery and active surveillance
ultrasound-guided interventional technique has been gradually applied in the treatment of PTMC and its metastatic lymph nodes for certain patients
and good therapeutic effects have been achieved due to its advantages of minimally invasive
real-time dynamic and non-radiation injury. However
the limitations of interventional techniques also make the treatment of PTMC. This paper reviewed the application status and research progress in treatment of thermal ablation