摘要：超声引导下热消融技术在肝脏、肾脏等实体肿瘤中得到了广泛应用，成为继手术、介入之后的又一种治疗手段。因其微创、操作简便等优势，成为近年来研究的热点。但该技术应用于甲状腺结节在适应证方面存在把握是否准确、操作是否规范、疗效是否确切等问题。超声引导下热消融技术在很多医疗机构大多由超声科医师操作完成，而有大量病源的临床医师对此技术了解不深。本文将超声引导下热消融技术的应用背景、适应证、消融治疗后效果进行综述，梳理热消融技术在甲状腺结节治疗中的应用进展，旨在为临床应用该技术提供参考。

    关键词：超声引导；热消融；甲状腺结节

    中图分类号：R445.1；R736.1 " " " " " " " " " " " " " "文献标识码：A " " " " " " " " " " " " " DOI：10.3969/j.issn.1006-1959.2024.13.041

    文章编号：1006-1959(2024)13-0189-04

    Application of Ultrasound-guided Thermal Ablation in the Treatment of Thyroid Nodules

    WU Xu-jun1，WAN Hai-tong1，LI Wen-yang2

    (1.Department of General Surgery，Affiliated Hospital of Gansu Medical College，Pingliang 744000，Gansu，China;

    2.Medical School of Hexi University，Zhangye 734000，Gansu，China)

    Abstract：Ultrasound-guided thermal ablation technology has been widely used in solid tumors such as liver and kidney， and has become another treatment after surgery and intervention. Because of its advantages of minimally invasive and simple operation， it has become a research hotspot in recent years. However， there are some problems in the application of this technology to thyroid nodules ......