First Results of Radiofrequency Ablation in Patients with Benign Thyroid Nodules

Abstract


Relevance Appreciable prevalence of nodal changes of the thyroid gland (TG), possibility of early identification, verification of educations, unjustified risk of complications at traditional operative measures, dictates need of development of concrete indications and effective methods of their treatment depending on the sizes, morphological structure and caused clinical implications. Alternative method of treatment of knots of a thyroid gland is their local destruction a way of application of a radiofrequency ablation. The application of minimally invasive technique – radiofrequency ablation (RFA) for improving the results of treatment of patients with benign thyroid nodules. Presented our own data on the treatment of patients with thyroid nodules by RFA. The purpose of the study Improvement of results of treatment of patients with good quality neoplasm of a thyroid gland by means of a radiofrequency ablation. Materials and methods Method was applied at 25 patients with the diagnosis: nodal (multinodal) euthyroid struma of 1 degree. Radiofrequency ablation carried out the radio-frequency RITA Medical 1500X generator and the electrode of StarBurst SDE 2.0 having 3 conductors. Results and their discussion In a month after carrying out a radio-frequency ablation, there was a decrease of the sizes of knots of a thyroid gland – colloid by 1,5 times, cystic twice. Conclusion The radiofrequency ablation is the method which is effectively reducing volume of good-quality nonfunctioning nodal formations of a thyroid gland. At cystic knots efficiency of a radiofrequency ablation is higher, than at the solid. The radiofrequency ablation can be an effective and safe method of treatment of good-quality nodal formations of a thyroid gland, when keeping indications to technique application.

Moscow State University of Medicine and Dentistry, 20/1 Delegatskaia Str., Moscow, 127473, Russian
Federation

Author for correspondence.
Email: natav2410@mail.ru
 сompetitor of the Department of Surgery, Faculty of Postgraduate Education , Moscow State Medical University Medical and Dental University. AI Evdokimov Russian Ministry of Health, a surgeon

Federal Research Centre of Specialized Types of Medical Care and Medical Technology of FMBA Russia, 28
Orekhovyi Blvd, Moscow, 115682, Russian Federation

Email: author@vestnik-surgery.com
 MD, PhD , director of the Center for Endocrine Surgery Scientific Clinical Center of specialized types of health care and medical technology.

Moscow State University of Medicine and Dentistry, 20/1 Delegatskaia Str., Moscow, 127473, Russian
Federation

Email: author@vestnik-surgery.com
MD, Professor, Head of Department of Surgery, Faculty of Postgraduate Education, Moscow State Medical University Medical and Dental University. AI Evdokimov Russian.

Federal Research Centre of Specialized Types of Medical Care and Medical Technology of FMBA Russia, 28
Orekhovyi Blvd, Moscow, 115682, Russian Federation

Email: author@vestnik-surgery.com
 MD, professor of surgery FPDO Medical University, Moscow State Medical and Dental University. AI Evdokimov, Deputy Director of the Institute of Clinical Surgery, Head of Department of Surgery FGBI "In scientific and clinical center specialized types of copper Qing care and medical technology

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