Efficacy and Safety of Single-Session Radiofrequency Ablation in Treating Benign Thyroid Nodules: A Short-Term Prospective Cohort Study
| Autor: | Dinh Toan Nguyen, Chi Van Le, Hai Thuy Nguyen, Van Bang Nguyen, Thi Anh Xuan Nguyen, Van Vy Hau Nguyen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Thyroid nodules
medicine.medical_specialty Article Subject Radiofrequency ablation Endocrinology Diabetes and Metabolism Thyroid function tests Diseases of the endocrine glands. Clinical endocrinology law.invention Endocrinology law Medicine Prospective cohort study medicine.diagnostic_test Endocrine and Autonomic Systems business.industry Thyroid Nodule (medicine) medicine.disease RC648-665 medicine.anatomical_structure Multiple linear regression analysis Radiology medicine.symptom business Single session Research Article |
| Zdroj: | International Journal of Endocrinology, Vol 2021 (2021) International Journal of Endocrinology |
| ISSN: | 1687-8345 1687-8337 |
| Popis: | Objective:The aims of this study are to evaluate the safety and efficacy of RFA in the treatment of benign thyroid nodule(s) and to find independent factors related to the volume reduction rate of the nodule(s).Materials and methods: This short-term prospective study from a single medical center was conducted on 93 benign thyroid nodules in 93 patients treated with RFA. Two basic techniques were used: the trans-isthmic approach, moving-shot technique. Clinical and ultrasonography examinations were performed at 1; 3 months follow-up after the treatment session. Primary outcomes included volume reduction ratio (VRR) at 1 month and 3 months follow-ups; Secondary outcomes were therapeutic success rate and complications. Multiple linear regression analysis was used to determine independent factors associated with VRR. Results: A final sample of 78 patients with 78 nodules, given participant rate 83.8%, (included 60 solid nodules, 16 predominantly cystic nodules, and 2 thyroid cysts) was followed for 3 months. The mean volume reduction ratio was 41.47% and 64.72% after 1 month and 3 months follow-ups, respectively. The therapeutic success rate was 30.8% at 1 month and 84.6% at 3-month follow-ups. Symptom score and cosmetic score improved significantly. There was no change in thyroid function tests. Two minor complications (transient voice change) were found. The only internal component of nodules significantly related to the VRR during the 3 months follow-up (b = 23.00; 95%CI (7.59 - 38.45)).Conclusion: RFA was demonstrated as a safe and effective option for benign thyroid nodules treatment. It can be used as an alternative treatment with encouraging results. |
| Databáze: | OpenAIRE |
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