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分化型甲状腺癌手术方式的探讨

The selection of operational mode for differentiated thyroid cancer

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【作者】 迟达超; 吴涛; 闫立昆; 王建华; 毛智军; 龙延滨; 陈熹;

【Author】 Department of General Surgery,Shaanxi Province People’s Hospital(Xi’an 710068)Chi Dachao Wu Tao Yan Likun et al

【机构】 陕西省人民医院普外科; 西安交通大学第二附属医院普外科;

【摘要】 目的:探讨分化型甲状腺癌合理的手术治疗方式。方法:分析89例分化型甲状腺癌的临床资料,从甲状腺切除范围、颈部淋巴结清扫方式等方面探讨分化型甲状腺癌的治疗。结果:全组患者无手术及住院期间死亡,短期低钙血症42例(47.2%),暂时性声音嘶哑12例(13.5%),乳糜漏2例(2.2%)。结论:对于分化型甲状腺癌,主张行甲状腺全切术或甲状腺近全切除术,结合患者的肿瘤分期及颈淋巴结情况,行相应颈淋巴结清扫术。

【Abstract】 Objective:To select reasonable operational mode for differentiated thyroid cancer. Methods:The clinical data of 89 patients with differentiated thyroid cancer treated from March 2002 to March 2007 were retcospectively analysed in the excisional extent of thyroid gland,the mode of neck dissection. Results:There was no death with operation or in hospital. There were 42 cases (47.2%) with shortdated low Ca syndrome,12 cases (13.5%) with transitory craked and 2 cases (2.2%) with Chylous fistula. Conclusion:It is recommended that total or near total thyroidectomy for differentiated thyroid cancer. The neck dissection should be considered according to the stage of the tumor.

  • 【文献出处】 陕西医学杂志 ,Shaanxi Medical Journal , 编辑部邮箱 ,2009年08期
  • 【分类号】R736.1
  • 【被引频次】7
  • 【下载频次】99
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