【摘要】 目的:探讨甲状腺全切除术在治疗分化性甲状腺癌中的临床应用价值。方法:采用我院1988年1月～2001年5月甲状腺全切除术或甲状腺侧叶切除加峡部切除术治疗分化性甲状腺癌125例,对其手术并发症发生、局部复发、转移情况及术后5年生存率进行回顾性对比分析。结果:甲状腺全切除术术后并发症发生率高于甲状腺侧叶切除加峡部切除术组;局部复发、转移率低于侧叶切除加峡部切除术组;5年生存率两组无显著性差异。结论:甲状腺全切除术是治疗甲状腺癌有效的手术方式,但应掌握手术指征,改进、提高手术技术,减少并发症。更多还原

【Abstract】 Objective:To investigate the clinical values of surgical treatment of differentiated thyroid carcinoma.Methods:From 1988.1 to 2001.5,125 cases with differentiated thyroid carcinoma were treated in our hospital by total thyroidectomy or adjacent thyroid lobectomy and isthmectomy.Their postoperative complications,local recurrence,metastasis and five-years survival rate were retrospectively analyzed.Results:The incidence of the postoperative complications in the total thyroidectomy group was higher than that in the adjacent thyroid lobectomy + isthmectomy group(P<0.05),the rate of the local recurrence and metastasisin of the total thyroidectomy group was lower than those of the adjacent thyroid lobectomy + isthmectomy group(P<0.05 to 0.01).There were not any significant difference of five-years survival rate between two groups.Conclusion:Both methods are effective for treatment of thyroid cancer,but surgical indication should be controled and the surgical technique must be perfect in order to reduce the postoperative complications,recurrence and metastasis.更多还原