{"id":11317,"date":"2024-01-19T21:21:43","date_gmt":"2024-01-19T21:21:43","guid":{"rendered":"https:\/\/www.africa-press.net\/sao-tome-e-principe\/politique\/thyroide-les-benefices-de-la-thermoablation"},"modified":"2024-01-19T23:31:30","modified_gmt":"2024-01-19T23:31:30","slug":"thyroide-les-benefices-de-la-thermoablation","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/thyroide-les-benefices-de-la-thermoablation","title":{"rendered":"Thyro\u00efde : les B\u00e9n\u00e9fices de la Thermoablation"},"content":{"rendered":"

Africa-Press – S\u00e3o Tom\u00e9 e Pr\u00edncipe. <\/strong><\/span>Comment re\u0301duire les conse\u0301quences de la chirurgie traditionnelle pour traiter un nodule thyroi\u0308dien ? Par des alternatives, comme la thermoablation. Quatre techniques sont disponibles: les trois les plus utilise\u0301es ont e\u0301te\u0301 de\u0301veloppe\u0301es au cours des vingt dernie\u0300res anne\u0301es en Italie (laser), en Core\u0301e du Sud (radiofre\u0301quence) et en Chine (micro-ondes). Elles sont disponibles en France dans une vingtaine de centres.<\/p>\n

Ces diffe\u0301rents me\u0301canismes permettent de de\u0301truire un nodule thyroi\u0308dien be\u0301nin sans toucher au tissu sain alentour, donc sans avoir a\u0300 retirer la glande. Principal avantage pour le patient, outre l\u2019absence de cicatrice et d\u2019anesthe\u0301sie ge\u0301ne\u0301rale: pouvoir se passer du traitement substitutif hormonal a\u0300 vie, la prise d\u2019hormones thyroi\u0308diennes e\u0301tant souvent ne\u0301cessaire en cas de chirurgie traditionnelle.<\/p>\n

En ambulatoire et sous anesthe\u0301sie locale<\/b><\/p>\n

En pratique, il s\u2019agit, en ambulatoire et sous anesthe\u0301sie locale, d\u2019introduire sous guidage e\u0301chographique dans le centre du nodule une sonde administrant de la chaleur. \u201cL\u2019augmentation de la tempe\u0301rature locale (environ 85 \u00b0C) permet de de\u0301naturer les prote\u0301ines tissulaires, de provoquer la scle\u0301rose des vaisseaux et me\u0302me la carbonisation\u201d, pre\u0301cise le Dr Herve\u0301 Monpeyssen (Institut de la thyroi\u0308de, Paris), pionnier de la technique dans l\u2019Hexagone apre\u0300s s\u2019e\u0302tre forme\u0301 en Italie et en Core\u0301e. Le choix de la technique de\u0301pend de plusieurs facteurs: volume et nombre des nodules, emplacement dans la glande, proximite\u0301 e\u0301ventuelle de nerfs, vaisseaux… La proce\u0301dure dure environ trente minutes et la surveillance au maximum deux heures, le patient rentrant chez lui le soir me\u0302me.<\/p>\n

Principale indication de cette approche, les nodules be\u0301nins qui, une fois retire\u0301s, diminuent progressivement de volume dans les mois qui suivent le geste. \u201cMais attention, pre\u0301vient Herve\u0301 Monpeyssen, on ne se de\u0301cre\u0300te pas thermoablateur du jour au lendemain, une formation rigoureuse est requise. \u201d<\/p>\n

Un traitement a\u0300 2000 euros<\/b><\/p>\n

Tous les nodules ne sont toutefois pas accessibles a\u0300 ce traitement en raison de contre-indications. Autre inconve\u0301nient: son cou\u0302t d\u2019environ 2000 euros qui n\u2019est toujours pas pris en charge en France, a\u0300 l\u2019inverse de la Core\u0301e et de l\u2019Italie. Certaines mutuelles commencent ne\u0301anmoins a\u0300 s\u2019y inte\u0301resser, le dossier de remboursement e\u0301tant a\u0300 l\u2019e\u0301tude. A\u0300 terme, cette approche devrait aussi e\u0302tre e\u0301tendue aux nodules malins, comme cela a de\u0301ja\u0300 e\u0301te\u0301 re\u0301alise\u0301 dans certains centres experts comme l\u2019ho\u0302pital de la Pitie\u0301-Salpe\u0302trie\u0300re, a\u0300 Paris, ou l\u2019Ho\u0302pital ame\u0301ricain de Neuilly.<\/p>\n

Pour plus d’informations et d’analyses sur la S\u00e3o Tom\u00e9 e Pr\u00edncipe<\/a>, suivez Africa-Press<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – S\u00e3o Tom\u00e9 e Pr\u00edncipe. Comment re\u0301duire les conse\u0301quences de la chirurgie traditionnelle pour traiter un nodule thyroi\u0308dien ? Par des alternatives, comme la thermoablation. Quatre techniques sont disponibles: les trois les plus utilise\u0301es ont e\u0301te\u0301 de\u0301veloppe\u0301es au cours des vingt dernie\u0300res anne\u0301es en Italie (laser), en Core\u0301e du Sud (radiofre\u0301quence) et en Chine […]<\/p>\n","protected":false},"author":82,"featured_media":11316,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,10],"tags":[36,55,56],"class_list":["post-11317","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-divers","category-toutes-les-actualites","tag-africa-press","tag-africa-press-sao-tome-e-principe","tag-sao-tome-e-principe"],"yoast_head":"\nThyro\u00efde : les B\u00e9n\u00e9fices de la Thermoablation - S\u00e3o Tom\u00e9 e Pr\u00edncipe<\/title>\n<meta name=\"description\" content=\"Comment re\u0301duire les conse\u0301quences de la chirurgie traditionnelle pour traiter un nodule thyroi\u0308dien ? 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