Comparison of ultrasound-guided percutaneous microwave ablation and parathyroidectomy for primary hyperparathyroidism

被引:55
作者
Liu, Fangyi [1 ]
Yu, Xiaoling [1 ]
Liu, Zhoulu [2 ]
Qiao, Zhi [2 ]
Dou, Jianping [1 ]
Cheng, Zhigang [1 ]
Han, Zhiyu [1 ]
Yu, Jie [1 ]
Liang, Ping [1 ]
机构
[1] Chinese Peoples Liberat Army Gen Hosp, Dept Intervent Ultrasound, 28 Fuxing Rd, Beijing 100853, Peoples R China
[2] Chinese Peoples Liberat Army Gen Hosp, Dept Gen Surg, Beijing, Peoples R China
基金
国家重点研发计划;
关键词
Interventional ultrasonography; catheter ablation; parathyroidectomy; primary hyperparathyroidism; parathyroid adenoma; RADIOFREQUENCY ABLATION; MANAGEMENT; EFFICACY; SAFETY; GLAND;
D O I
10.1080/02656736.2019.1645365
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: To compare the clinical efficacy of ultrasound-guided percutaneous microwave ablation (MWA) and parathyroidectomy for primary hyperparathyroidism. Methods: In an observational retrospective study, we compared the outcomes in patients with primary hyperparathyroidism who underwent ultrasound-guided MWA with the outcomes in those who underwent surgical resection (SR). The primary outcome was cure rate. Secondary outcomes were the rate of complications, and the difference of the treatment parameters of two treatment methods. Propensity-score matching was used to assemble a cohort of patients with similar baseline characteristics. Results: Among 108 patients who met inclusion criteria, 28 patients who underwent ultrasound-guided MWA (MWA group) and 28 who underwent SR (SR group) had similar propensity scores and were included in the analyses. There was no significant difference in the cure rate between MWA group and SR group (82.1% vs. 89.3%, p = .705). Patients who underwent MWA had significantly less estimated blood loss and shorter surgical time than those who underwent SR (p < .001). The incidence of side effects and complications was comparable between MWA group and SR group (21.4% vs. 25%, p = .752). Conclusions: MWA and SR provided comparable short-term results in terms of cure rate and complications in treatment of primary hyperparathyroidism. Ultrasound-guided percutaneous MWA is a promising and minimally invasive method for primary hyperparathyroidism.
引用
收藏
页码:835 / 840
页数:6
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