Comparison of multi-point parallel needle insertion and sector scanning ablation in the treatment of benign thyroid nodules

HUANG Zhen-yu; QIN Huan-ying; YANG Shi-deng; HUANG Qing-fei; HUANG Bao-feng; YANG Chan

doi:10.11659/jjssx.12E025049

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Comparison of multi-point parallel needle insertion and sector scanning ablation in the treatment of benign thyroid nodules

Precise Diagnosis and Treatment of Breast and Thyroid Diseases | 更新时间：2026-07-31

- Comparison of multi-point parallel needle insertion and sector scanning ablation in the treatment of benign thyroid nodules
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 35, Issue 8, Pages: 678-682(2026)
- 作者机构：
  
  1.梧州市人民医院胸外腺体外科，广西梧州 543000
  2.梧州市人民医院产科，广西梧州 543000
  3.梧州市人民医院麻醉科，广西梧州 543000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.12E025049
  CLC： R581
- Received：10 December 2025，
  
  Online First：31 July 2026，
  
  Published：25 August 2026
- 稿件说明：
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黄振宇,覃焕英,杨世登等.多点平行消融术与扇形移动消融术在甲状腺良性结节治疗中的对比[J].局解手术学杂志,2026,35(08):678-682.

HUANG Zhen-yu,QIN Huan-ying,YANG Shi-deng,et al.Comparison of multi-point parallel needle insertion and sector scanning ablation in the treatment of benign thyroid nodules[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(08):678-682.
黄振宇,覃焕英,杨世登等.多点平行消融术与扇形移动消融术在甲状腺良性结节治疗中的对比[J].局解手术学杂志,2026,35(08):678-682. DOI： 10.11659/jjssx.12E025049.

HUANG Zhen-yu,QIN Huan-ying,YANG Shi-deng,et al.Comparison of multi-point parallel needle insertion and sector scanning ablation in the treatment of benign thyroid nodules[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(08):678-682. DOI： 10.11659/jjssx.12E025049.

摘要

目的

比较多点平行消融术和扇形移动消融术在甲状腺良性结节中的治疗效果和安全性。

方法

选取2023年9月至2025年1月梧州市人民医院收治的92例甲状腺良性结节患者，按随机数字表法分为对照组和观察组，每组46例。对照组患者予以扇形移动消融术治疗，观察组患者给予多点平行消融术治疗。比较2组患者术中相关指标、临床疗效、术后疼痛数字分级评分法（NRS）评分、结节体积缩小率(VRR)、甲状腺功能[血清促甲状腺激素（TSH）、游离三碘甲状腺原氨酸（FT-3）、游离甲状腺素（FT-4）]水平及术后并发症发生情况。

结果

观察组患者消融时间较对照组缩短（

0.05）。与对照组相比，观察组患者补充消融率更低，术后结节最大直径更小，差异均有统计学意义（

0.05）。2组患者术后1个月的VRR无统计学差异（

0.05），观察组患者术后3个月和6个月的VRR较对照组明显升高（

0.05）。观察组患者术后1 d的NRS评分较对照组升高（

0.05），2组患者术后3 d和7 d的NRS评分无统计学差异（

0.05）。2组患者术后TSH、FT-3、FT-4水平及并发症总发生率比较，差异均无统计学意义（

0.05）。

结论

与扇形移动消融术相比，多点平行消融术可缩短消融时间、降低补充消融率并提高近期结节体积缩小率，但术后1 d疼痛程度较高；两种术式对甲状腺功能的短期影响及总体安全性相近。

Abstract

Objective

To compare the therapeutic efficacy and safety of multi-point parallel needle insertion and sector scanning ablation for the treatment of benign thyroid nodules.

Methods

A total of 92 patients with benign thyroid nodules admitted to Wuzhou People's Hospital from September 2023 to January 2025 were selected and divided into the control group and the observation group by random number table method，with 46 patients in each group. Patients in the control group received sector scanning ablation，while patients in the observation group received multi-point parallel needle insertion. The intraoperative indicators， clinical efficacy， postoperative pain numerical rating scale （NRS） scores， nodule volume reduction rate （VRR）， thyroid function indicators ［serum thyroid-stimulating hormone （TSH）， free triiodothyronine （FT‑3）， and free thyroxine （FT‑4）］ levels， and the incidence of postoperative complications were compared between the two groups.

Results

The ablation time of the observation group was shorter than that of the control group（

0.05）. Compared with the control group，the supplementary ablation rate in the observation group was lower，and the maximu

m nodule diameter after surgery was smaller，with statistically significant differences （

0.05）. There was no statistically significant difference in VRR at 1 month postoperatively between the two groups（

0.05）. The VRRs at 3 and 6 months postoperatively in the observation group were significantly higher than those in the control group（

0.05）. Compared with the control group，the NRS score at 1 day postoperatively in the observation group was higher than that in the control group（

0.05），while there was no statistically significant difference in NRS scores at 3 and 6 days postoperatively between the two groups （

0.05）.There was no statistically significant difference in TSH， FT‑3， or FT‑4 levels after surgery or the overall incidence of complications between the two groups （

0.05）.

Conclusion

Compared with sector scanning ablation，multi-point parallel needle insertion can shorten ablation time， reduce supplementary ablation rate， and improve the short-term nodule volume reduction rate， but it is associated with greater pain at 1 day postoperatively. The two techniques have comparable short-term effects on thyroid function and overall safety.

关键词

Keywords

references

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