COMPLEX APPLICATION OF ORGAN-PRESERVING, MINIMALLY INVASIVE METHODS OF TREATMENT OF BENIGN THYROID NODULES

Abstract

Objective is to study the indications and determine the optimal timing of the sequential use of ethanol sclerotherapy and radiofrequency ablation in patients with benign thyroid nodules.Material and methods. Organ-preserving methods, ethanol sclerotherapy (ES) and radiofrequency ablation (RFA), were consistently performed in 78 patients with benign thyroid nodules at the BSMU Clinic and MC MEGI Ufa, during the period from 2019 to 2021.Results and discussion. According to ultrasound characteristics, all patients had solid-liquid node structure. The effectiveness of sequential use of ES and RFA in terms of 1 to 3 months was compared. It was found that the method of sclerotherapy followed by RFA gives a greater effect when they are carried out sequentially with an interval of no more than 1 month.Conclusion. Under ultrasound navigation, it is possible to perform interventions on the nodes of the thyroid gland with maximum preservation of the unchanged tissue of the organ and parathyroid glands. In nodes with the presence of a liquid component in the structure, the efficiency is higher with the sequential use of ES and RFA within a period of no more than 1 month. Manipulation is possible on an outpatient basis with the preservation of the patient's ability to work [4].