THE SELECTION OF PATIENTS FOR MINIMALLY INVASIVE PROCEDURES ON THE THYROID NODULES

Abstract

Percutaneous laser ablation (PLA), high-intensity focused ultrasound (HIFU), and ultrasound-guided sclerotherapy (PIE) are minimally invasive treatments for benign thyroid nodules (MIT). Methods have different effectiveness depending on the size, structure, and localization of thyroid nodes. When selecting patients for treatment, the technical and biological features of various minimally invasive treatment methods are essential. Out of 124 people with thyroid nodules, 32 patients were selected for minimally invasive treatment. Conducting minimally invasive treatment and evaluating early treatment results in 32 people allowed us to identify the characteristics of thyroid nodes that affect the choice of modes of methods, the technique of their implementation, as well as the likely prognosis of the results of treatment of thyroid nodes (partial regression, complete destruction, the formation of fibrosis). When selecting patients for minimally invasive treatment, the leading method is ultrasound, which allows us to objectively assess risks, prevent possible complications, and predict the dynamics of inflammatory and regenerative processes based on the analysis of the ultrasound pattern.