Complications Encountered in the Treatment of Benign Thyroid Nodules with US-guided Radiofrequency Ablation: A Multicenter Study

被引：303

作者：

Baek, Jung Hwan ^{[1
,2
,3
,4
]}

Lee, Jeong Hyun ^{[1
,2
]}

Sung, Jin Yong ^{[3
,4
]}

Bae, Jae-Ik ^{[5
]}

Kim, Kyung Tae ^{[6
]}

Sim, Jungsuk ^{[7
]}

Baek, Seon Mi ^{[8
]}

Kim, Young-sun ^{[9
,10
,11
]}

Shin, Jung Hee ^{[9
,10
]}

Park, Jeong Seon ^{[11
]}

Kim, Dong Wook ^{[12
]}

Kim, JI-hoon ^{[13
]}

Kim, Eun-Kyung ^{[14
]}

Jung, So Lyung ^{[15
]}

Na, Dong Gyu ^{[16
]}

机构：

[1] Univ Ulsan, Dept Radiol, Coll Med, Asan Med Ctr, Seoul 138736, South Korea

[2] Univ Ulsan, Res Inst Radiol, Coll Med, Asan Med Ctr, Seoul 138736, South Korea

[3] Daerim St Marys Hosp, Dept Radiol, Seoul, South Korea

[4] Daerim St Marys Hosp, Thyroid Ctr, Seoul, South Korea

[5] Ajou Univ, Dept Radiol, Sch Med, Suwon 441749, South Korea

[6] UNMEC Clin, Dept Radiol, Taegu, South Korea

[7] Mothers Clin, Dept Radiol, Gyeonggi Do, South Korea

[8] BHS Hanseo Hosp, Dept Radiol, Pusan, South Korea

[9] Sungkyunkwan Univ, Dept Radiol, Samsung Med Ctr, Sch Med, Seoul, South Korea

[10] Sungkyunkwan Univ, Ctr Imaging Sci, Samsung Med Ctr, Sch Med, Seoul, South Korea

[11] Hanyang Univ, Dept Radiol, Coll Med, Hanyang Univ Hosp, Seoul 133791, South Korea

[12] Inje Univ, Dept Radiol, Busan Paik Hosp, Coll Med, Pusan, South Korea

[13] Seoul Natl Univ, Dept Radiol, Coll Med, Seoul, South Korea

[14] Yonsei Univ, Dept Radiol, Coll Med, Seoul, South Korea

[15] Catholic Univ, Dept Radiol, Seoul St Marys Hosp, Seoul, South Korea

[16] Human Med Imaging & Intervent Ctr, Dept Radiol, Thyroid Clin, Seoul, South Korea

来源：

RADIOLOGY | 2012年 / 262卷 / 01期

关键词：

PERCUTANEOUS ETHANOL INJECTION; THERMAL ABLATION; TUMOR ABLATION; FOLLOW-UP; LASER-ABLATION; LIVER-TUMORS; VAGUS NERVE; SAFETY; OPPORTUNITIES; MALIGNANCIES;

D O I：

10.1148/radiol.11110416

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Purpose: To evaluate clinical aspects and imaging features of complications encountered in the treatment of benign thyroid nodules with radiofrequency (RF) ablation. Materials and Methods: Institutional review board approval was obtained for this retrospective study, and informed consent was waived. From June 2002 to September 2009, 1459 patients underwent RF ablation of 1543 thyroid nodules with an RF system with internally cooled electrodes at 13 thyroid centers, which were members of Korean Society of Thyroid Radiology. Numbers and types of major and minor complications were assessed. Results: The authors observed 48 complications (3.3%), 20 major and 28 minor. The major complications were voice changes (n = 15), brachial plexus injury (n = 1), tumor rupture (n = 3), and permanent hypothyroidism (n = 1). The minor complications were hematoma (n = 15), skin burn (n = 4), and vomiting (n = 9). All patients recovered spontaneously except for one with permanent hypothyroidism and one who underwent surgery. Conclusion: Although the complication rate of RF ablation is low, various complications may occur; comprehension of complications and suggested technical tips may prevent complications or properly manage those that occur. (C) RSNA, 2011

引用

页码：335 / 342

页数：8

共 37 条

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