지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 339 - 350 (12page)
이용수
초록· 키워드
오류제보하기
Background: Ultrasound-guided thermal ablations have become one of the main options for treating benign thyroid nodules. To determine efficacy of thermal ablation of benign thyroid nodules, we performed a meta-analysis of studies with long-term follow-up ofmore than 3 years. Methods: Databases were searched for studies published up to August 25, 2019, reporting patients with benign thyroid nodulestreated with thermal ablation and with follow-up data of more than 3 years. Data extraction and quality assessment were performedaccording to PRISMA guidelines. The analysis yielded serial volume reduction rates (VRRs) of ablated nodules for up to 3 years ormore, and adverse effect of ablation during follow-up. Radiofrequency ablation (RFA) and laser ablation (LA) were compared in asubgroup analysis. Results: The pooled VRRs for ablated nodules showed rapid volume reduction before 12 months, a plateau from 12 to 36 months,and more volume reduction appearing after 36 months, demonstrating long-term maintenance of treatment efficacy. Thermal ablation had an acceptable complication rate of 3.8%. Moreover, patients undergoing nodule ablation showed no unexpected delayedcomplications during the follow-up period. In the subgroup analysis, RFA was shown to be superior to LA in terms of the pooledVRR and the number of patients who underwent delayed surgery. Conclusion: Thermal ablations are safe and effective methods for treating benign thyroid nodules, as shown by a long follow-upanalysis of more than 3 years. In addition, RFA showed superior VRRs compared with LA for the treatment of benign thyroid nodules, with less regrowth and less delayed surgery.
목차
등록된 정보가 없습니다.
참고문헌 (40)
참고문헌 신청
Pacella CM / 2000 / Thyroid tissue : US-guided percutaneous interstitial laser ablation : a feasibility study / Radiology 217:673~677
Jeong WK / 2008 / Radiofrequency ablation of benign thyroid nodules : safety and imaging follow-up in 236 patients / Eur Radiol 18:1244~1250
Dossing H / 2011 / Long-term outcome following interstitial laser photocoagulation of benign cold thyroid nodules / Eur J Endocrinol 165:123~128
Gambelunghe G / 2013 / Ultrasound-guided interstitial laser ablation for thyroid nodules is effective only at high total amounts of energy : results from a three-year pilot study / Surg Innov 20:345~350
Gambelunghe G / 2018 / A single session of laser ablation for toxic thyroid nodules : three-year follow-up results / Int J Hyperthermia 34:631~635
Jeong WK / 2008 / Radiofrequency ablation of benign thyroid nodules : safety and imaging follow-up in 236 patients / Eur Radiol 18:1244~1250
Dossing H / 2011 / Long-term outcome following interstitial laser photocoagulation of benign cold thyroid nodules / Eur J Endocrinol 165:123~128
Gambelunghe G / 2013 / Ultrasound-guided interstitial laser ablation for thyroid nodules is effective only at high total amounts of energy : results from a three-year pilot study / Surg Innov 20:345~350
Gambelunghe G / 2018 / A single session of laser ablation for toxic thyroid nodules : three-year follow-up results / Int J Hyperthermia 34:631~635
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