【摘要】 随着甲状腺微小乳头状癌（papillary thyroid microcarcinoma,PTMC）的检出率日益增高，其治疗手段日新月异，近年来一些代替手术治疗的方案逐渐被提出及实践，本文总结并分析PTMC治疗的演变进程、当前状态、趋势和面临的关键问题。从手术方式的转变到主动监测概念的提出，再到热消融方式的广泛应用，通过对比分析，可知热消融是一种很有前途的替代治疗方案，然而，目前对PTMC热消融的适应证已经不能契合个体化、多学科和多模式治疗的理念，本文通过对甲状腺癌热消融治疗的现状及研究进展进行总结，旨在为PTMC热消融适应证之外的临床研究拓展新的视角，并为未来的研究发展指明方向。更多还原

【Abstract】 With the increasing detection rate of papillary thyroid microcarcinoma(PTMC), the treatment methods are changing rapidly, especially in recent years, some alternatives to surgical treatment have been gradually put forward and practiced. This paper summarized and analyzed the evolution process, current state, trend and key issues of PTMC treatment. From the way of surgery to the concept of active surveillance, to the wide application of thermal ablation. Through comparative analysis, thermal ablation is a promising alternative treatment. However, the indications for PTMC thermal ablation cannot meet the concept of individualized,multidisciplinary and multimodal treatment. By summarizing the status of thyroid cancer thermal ablation and research progress, this article provided a new perspective for the clinical research outside PTMC thermal ablation indications, and provided direction for future research development.更多还原