【摘要】 目的:探讨影响甲状腺癌再手术效果的相关因素,及其合理的手术方式。方法:对15例复发性甲状腺癌再手术的资料进行回顾性分析。结果:本组二次手术12例,三次手术3例,15例分化型甲状腺癌再次手术发现总的残癌率60%(9/15),其中原发部位残癌率46.67%(7/15),颈部淋巴结转移率33.33%(5/15)。结论:甲状腺癌手术应规范,应行甲状腺腺叶切除,疑有颈淋巴结转移者,应行规范化的颈淋巴结清扫术。更多还原

【Abstract】 Objective:To explore the influential factors of reoperation for thyroid carcinoma and proper operation style.Methods:The clinical data of 15 reperated cases with differentiated thyroid cancer were analysed retrospectively.Results:Reperation was performed in 12 cases,three times of operation in 3 cases.The total rate of residual disease was 60%(9/15).The rate of the residual disease at primary site was 46.67%(7/15),the rate of node metastasis was 33.33%(5/15).Conclusion:The standard lobectomy shoude be selected for thyroid tumor.If the lymphoides metastasis was suspected,the neck node dissection should be performed.更多还原