甲状腺癌再手术相关问题的探讨.pdfVIP

·404· ·论 著· 甲状腺癌再手术相关问题的探讨 王晨光，刘永平，张鹏程，叶玉祥 [摘要] 目的探讨甲状腺癌再次手术的必要性及手术方式。方法 总结1995年1月至2005 年1月甲状腺切除术后诊断为甲状腺癌而进行再次手术治疗的75例I临床资料。应用统计学处理分 析手术情况及术后资料。结果病理检查证实再手术患者肿瘤残留率为58．7％(44,,75)；并发症中 喉返神经损伤5．3％；术前CT扫描的灵敏度为76．9％(20／26)。结论甲状腺癌不规范手术的肿瘤 残留率较高，慎重的再手术是必要的。对于再手术切除范围、术前检查灵敏度问题、手术时机及预防 并发症等要引起重视。 [关键词】 甲状腺肿瘤汐h科手术；再手术；癌 中图分类号：R736．1文献标志码：A 文章编号：1672-271X(2010)05-0404-03 of in carcinoma reoperationthyroid Investigation WANG General Chen-guang，LIUYong-ping，ZHANGPen—cheng，YEYu-xiang．Departmentof Surgery， 476ClinicalBranch 350002，China ofPLA，Fttzhou，Fujian To the andmodusof in carcinoma [Abstract]Objectiveinvestigatenecessity reoperationthyroid The75Cfl84鸭of carcinoma between1995and2005for patients．Methods thyroid patientsoperated reopera- of tionwere data and were retrospectivelyanalyzed．Theoperationpostopemtionstatistically analyzed．Results confirmedthattherewere withresidualtumor．Therateofre- Pathological坤sults 58．7％(44／75)eases current nerve was5．3％．The ofresidualcarcinomadetectionCTscanbefore injury sensitivity by laryngeal was Theresidualrateof with carcino- 76．9％(20／26)．Conclusion operations moperatedpatientsthyroid mawas acautious was shouldmoreattentionto relativelyhigh，and reoperationnecessary．However，wepay thereseetiorl of time，and of scope，thesensitivitypreoperativeexamination，operationpreventioneomplica- tions． words]thyroid [Key neoplasm；surgery；reoperafion；carcinoma 甲状腺癌常因术前误诊为甲状腺良性疾病而采 龄32—63岁，平均38．8岁。病理报告：分化性甲状 用较为保守的或不规范的手术方法致使局部瘤体切