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已发表论文
产后甲状腺微小乳头状癌（PTMC）患者术后焦虑情况：传统手术与热消融治疗的比较
Authors Yu B, Luo Y, Tan S, Cui L, Liu X, Zhou Q
Received 8 May 2025
Accepted for publication 12 September 2025
Published 20 September 2025 Volume 2025:17 Pages 2143—2152
DOI https://doi.org/10.2147/CMAR.S538777
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Sanjeev K. Srivastava
Bo Yu,1 Yukun Luo,2 Shi Tan,1 Ligang Cui,1 Xiaoxiao Liu,1 Qidi Zhou3
1Department of Ultrasound, Peking University Third Hospital, Beijing, People’s Republic of China; 2Department of Ultrasound, The First Medical Center, General Hospital of Chinese PLA, Beijing, People’s Republic of China; 3Medical Examination Center, Peking University Third Hospital, Beijing, People’s Republic of China
Correspondence: Shi Tan, Department of Ultrasound, Peking University Third Hospital, No. 49 Huayuan North Road, Haidian District, Beijing, People’s Republic of China, Email tanshi@hsc.pku.edu.cn Yukun Luo, Department of Ultrasound, The First Medical Center, General Hospital of Chinese PLA, No. 28 Fuxing Road, Haidian District, Beijing, People’s Republic of China, Email Lyk301@163.com
Objective: To compare postoperative anxiety in childbearing-age women with PTMC undergoing traditional surgery and thermal ablation, and identify influencing factors.
Methods: This retrospective cohort study included 118 women of childbearing age who underwent surgery for papillary thyroid microcarcinoma (PTMC) between January and December 2023. Postoperative anxiety symptoms and their influencing factors were prospectively assessed during follow-up visits using standardized questionnaires: the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the Self-Rating Anxiety Scale (SAS), the Thyroid Cancer-Specific Health-Related Quality of Life Questionnaire (THYCA-QoL), and the Reproductive Health Literacy Scale. Demographic characteristics and clinical data were analyzed using univariate analysis and multiple linear regression models to identify risk factors.
Results: Postoperative anxiety was significantly associated with long-term levothyroxine use (β=0.405, p=0.011) and surgical approach. Traditional surgery patients demonstrate higher physical health (2.50 vs 1.50, p< 0.001) and social/family scores (2.17 vs 1.50, p< 0.001) than the ablation group parallels greater levothyroxine dependency (89.4% vs 15.2%, p< 0.001). Symptom-anxiety correlations differed between groups: traditional surgery was associated with multidimensional drivers (voice changes r=0.572, weight gain r=0.488), whereas thermal ablation primarily correlated with transient voice changes (r=0.507).
Conclusion: The multidimensional anxiety after traditional surgery originates from thyroid dysfunction and complications, whereas thermal ablation is associated with a lower psychological burden with manageable short-term symptoms. Treatment selection should be individualized prioritizing reproductive timelines and individualized risk-benefit profiles.
Keywords: papillary thyroid microcarcinoma, thermal ablation, thyroidectomy, women of childbearing age, postoperative anxiety, psychological health
1Department of Ultrasound, Peking University Third Hospital, Beijing, People’s Republic of China; 2Department of Ultrasound, The First Medical Center, General Hospital of Chinese PLA, Beijing, People’s Republic of China; 3Medical Examination Center, Peking University Third Hospital, Beijing, People’s Republic of China
Correspondence: Shi Tan, Department of Ultrasound, Peking University Third Hospital, No. 49 Huayuan North Road, Haidian District, Beijing, People’s Republic of China, Email tanshi@hsc.pku.edu.cn Yukun Luo, Department of Ultrasound, The First Medical Center, General Hospital of Chinese PLA, No. 28 Fuxing Road, Haidian District, Beijing, People’s Republic of China, Email Lyk301@163.com
Objective: To compare postoperative anxiety in childbearing-age women with PTMC undergoing traditional surgery and thermal ablation, and identify influencing factors.
Methods: This retrospective cohort study included 118 women of childbearing age who underwent surgery for papillary thyroid microcarcinoma (PTMC) between January and December 2023. Postoperative anxiety symptoms and their influencing factors were prospectively assessed during follow-up visits using standardized questionnaires: the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the Self-Rating Anxiety Scale (SAS), the Thyroid Cancer-Specific Health-Related Quality of Life Questionnaire (THYCA-QoL), and the Reproductive Health Literacy Scale. Demographic characteristics and clinical data were analyzed using univariate analysis and multiple linear regression models to identify risk factors.
Results: Postoperative anxiety was significantly associated with long-term levothyroxine use (β=0.405, p=0.011) and surgical approach. Traditional surgery patients demonstrate higher physical health (2.50 vs 1.50, p< 0.001) and social/family scores (2.17 vs 1.50, p< 0.001) than the ablation group parallels greater levothyroxine dependency (89.4% vs 15.2%, p< 0.001). Symptom-anxiety correlations differed between groups: traditional surgery was associated with multidimensional drivers (voice changes r=0.572, weight gain r=0.488), whereas thermal ablation primarily correlated with transient voice changes (r=0.507).
Conclusion: The multidimensional anxiety after traditional surgery originates from thyroid dysfunction and complications, whereas thermal ablation is associated with a lower psychological burden with manageable short-term symptoms. Treatment selection should be individualized prioritizing reproductive timelines and individualized risk-benefit profiles.
Keywords: papillary thyroid microcarcinoma, thermal ablation, thyroidectomy, women of childbearing age, postoperative anxiety, psychological health