【摘要】 目的探讨甲状腺癌再次手术治疗的原因及对策。方法对10年收治的甲状腺手术后病理证实为甲状腺癌,需要再次手术治疗的36例临床病理资料进行回顾性分析。结果23例再次手术的原因为将甲状腺癌误诊为甲状腺良性病变,手术切除范围不够;3例原因为甲状腺癌术后复发。随访31例,5年生存率为83.3%(30/36)。结论甲状腺癌的误诊是造成甲状腺癌再次手术的主要原因,提高术者对甲状腺癌的认识水平,强调术中快速冰冻检查在甲状腺手术中的常规应用,选用恰当的手术方式,是避免甲状腺癌再次手术的关键。更多还原

【Abstract】 Objective To explore the main causes and munage ments of re-opration for patients with thyriod cancer.Methods From 1996 to 2006,36 patients were admitted for thyroid re-operation due to thyroid cancers pathologically confirmed after first operation.The clinical and pathological data of them were analyzed retrospectively.Results The causes of re-operation were misdiagnosis of thyroid cancer as benign diseases(23 cases),and postoperative recurrence(3 cases),31 cases were followed up;the 5-year survival rate was 83.3%(30/36).Conclusion Misdiagnosis of thyroid cancer is the main cause of re-operation for these patients.The key to avoid re-operation is to improve cognitive level for thyroid cancer,to emphasize the routine application of quick pathological diagnosis during operation of thyroid,and to select the suitable surgical method.更多还原