干货！超声发掘甲状腺结节为4a类，是观察还是手术?
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">倘若</span>你拿到体检报告单，上面写着“甲状腺结节”这一诊断，<span style="color: black;">那样</span>请你<span style="color: black;">必定</span>要仔细阅读本篇<span style="color: black;">文案</span>!</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-ec7250af297ebdd219144bfa48a2fee9_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 甲状腺结节是甲状腺组织内<span style="color: black;">由于</span>炎症、增生等<span style="color: black;">原由</span><span style="color: black;">显现</span>的肿物，患病率高达18.6%。<span style="color: black;">按照</span>国际上通用的甲状腺结节Ti-rads <span style="color: black;">归类</span>标准，4a类的结节，恶变几率仅为3-10%。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">那样</span>，查出4a类甲状腺结节该<span style="color: black;">怎样</span>治疗呢?今天济南显微外科医院<span style="color: black;">经过</span>一个案例来和<span style="color: black;">大众</span>聊聊4a甲状腺结节该<span style="color: black;">怎样</span>治疗。</p>
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<h2 style="color: black; text-align: left; margin-bottom: 10px;"> 甲状腺结节案例</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 28岁的小张，两个月前<span style="color: black;">机构</span>体检<span style="color: black;">发掘</span>甲状腺右叶有一个结节，约2公分<span style="color: black;">上下</span>，超声<span style="color: black;">检测</span>提示：甲状腺右侧低回声结节，Ti-rads 4a类，<span style="color: black;">大夫</span><span style="color: black;">意见</span>其进行开刀手术治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因为</span><span style="color: black;">病人</span>既担心结节后期<span style="color: black;">倘若</span>继续发展可能会恶变，想要<span style="color: black;">即时</span>处理;但又不想开刀切除，脖子留下的疤痕不美观，便<span style="color: black;">无</span>采纳。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 为求进一步治疗，前来我院就诊。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;"> 经我院苗庆松教授接诊后<span style="color: black;">发掘</span>：</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 单纯从<span style="color: black;">彩超</span><span style="color: black;">检测</span>来看，该<span style="color: black;">病人</span>甲状腺结节边界清晰、形态规则、内部回声不均，可见血流信号，评分为4a类低回声，有恶性倾向的可能。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但<span style="color: black;">病人</span>甲状腺功能正常，属于良性结节，为防止结节<span style="color: black;">显现</span>恶变，<span style="color: black;">意见</span>进行超微创微波消融治疗。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-ae2069ea09bca606ed489fcdbc2a0d0a_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">针对</span><span style="color: black;">选取</span>微创治疗的理由，微创专家苗教授<span style="color: black;">暗示</span>：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 1、该<span style="color: black;">病人</span>结节不大，属于良性，但结节回声不均，可见血流信号，有恶变倾向，应<span style="color: black;">即时</span><span style="color: black;">干涉</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 2、若随时随访观察，<span style="color: black;">病人</span><span style="color: black;">没</span>法摆脱对结节的焦虑和担忧，再加上<span style="color: black;">病人</span>比较<span style="color: black;">青年</span>，平时工作压力大，<span style="color: black;">长时间</span><span style="color: black;">处在</span>这种环境下比较容易刺激结节生长。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3、良性结节<span style="color: black;">选取</span>开刀手术，术后颈部疤痕<span style="color: black;">显著</span>，影响美观，并且<span style="color: black;">病人</span>术后<span style="color: black;">必须</span><span style="color: black;">长期</span>服药。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">另一</span>，<span style="color: black;">每一个</span>器官长在身上都是有很大<span style="color: black;">功效</span>的，<span style="color: black;">茫然</span>切掉并没好处!!</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 而【超微创微波消融术】恰好弥补了不足，将甲状腺<span style="color: black;">疾患</span>治疗的微创性、有效性、安全性和美容性有机地结合在<span style="color: black;">一块</span>，<span style="color: black;">作为</span>甲状腺良性结节治疗的不二<span style="color: black;">选取</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">然则</span>，在<span style="color: black;">这儿</span>提醒一下<span style="color: black;">大众</span>，微波消融手术有严格的<span style="color: black;">评定</span>标准，<span style="color: black;">必须</span>符合消融手术标准的<span style="color: black;">才可</span>进行手术，并非所有的结节都适合。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 如有以下<span style="color: black;">状况</span>，<span style="color: black;">能够</span><span style="color: black;">思虑</span>进行微创治疗：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 1、经2次以上针吸细胞学<span style="color: black;">检测</span>或粗针穿刺活检均诊断为良性的结节;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 2、<span style="color: black;">没</span>症状或有<span style="color: black;">显著</span>的压迫症状，如颈部不适感、<span style="color: black;">病痛</span>、吞咽困难<span style="color: black;">乃至</span><span style="color: black;">呼气</span>困难等;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 3、不适合手术切除或拒绝手术者;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4、结节外凸影响美观或对术后美观有较高<span style="color: black;">需求</span>者;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 5、甲状腺恶性病变复发者;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 6、对甲状腺结节过度焦虑者;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">尤其</span>强调：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 甲状腺结节的治疗<span style="color: black;">办法</span>因人而异，<span style="color: black;">必须</span>先确定结节的性质和功能，以及<span style="color: black;">导致</span>不良影响的程度。</p>
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