The goal of this clinical study is to learn if cryoablation works to treat thyroid tumors. It will also learn about the safety of cryoablation for thyroid tumors. The main questions it aims to answer are: * Does cryoablation shrink thyroid tumors over time? * What side effects or problems do participants have after cryoablation? Participants will receive cryoablation treatment guided by ultrasound. Researchers will track tumor size changes and check for any safety issues during follow-up visits.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
108
Under local anesthesia, ultrasound-guided percutaneous cryoablation is applied to treat thyroid neoplasms. Targeted tumor tissue is destroyed by ultralow temperature from cryoprobes.
Ultrasound-guided percutaneous microwave ablation of thyroid neoplasm
Chinese People's Liberation Army General Hospital
Beijing, Beijing Municipality, China
RECRUITINGTumor Volume Reduction Rate (VRR) at 12 months after ablation
Tumor volume is measured by two-dimensional thyroid ultrasound before treatment and at 12-month follow-up. Volume Reduction Rate (%) = (Baseline tumor volume - 12-month ablation zone volume) / Baseline tumor volume × 100%. Compare VRR between microwave ablation group and cryoablation group.
Time frame: Baseline (pre-ablation), 12 months after ablation
Complete tumor disappearance rate at 12 months
Complete disappearance is defined as no visible residual lesion and blurred ablation boundary on thyroid ultrasound \& contrast-enhanced ultrasound at 12-month follow-up. Count participants with complete lesion absorption in two groups.
Time frame: Baseline, 1, 3, 6, 12 months post-ablation
Incidence of treatment-related complications
Complications include transient hoarseness, hemorrhage, infection, nerve injury, thyroid dysfunction, etc. Divided into minor and major complications according to interventional radiology standard; record all adverse events from procedure to 12-month follow-up.
Time frame: Intraoperative, immediate post-op, 1 day, 1, 3, 6, 12 months after ablation
Postoperative pain visual analog scale (VAS) score
Pain scored by VAS (0-10 scale, 0=no pain, 10=worst pain imaginable), assessed at immediate post-procedure and postoperative day 1.
Time frame: Immediately after ablation, postoperative day 1
Total operation time
Total procedure duration from puncture to completion of ablation under ultrasound guidance for each participant.
Time frame: Intraoperative period only
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