甲状腺全切除治疗原发性甲状腺功能亢进症合并甲状腺癌的临床疗效观察.docVIP

精品论文 参考文献 甲状腺全切除治疗原发性甲状腺功能亢进症合并甲状腺癌的临床疗效观察 内蒙古巴彦淖尔市医院肝胆外科 内蒙古 巴彦淖尔市 015000 【摘要】目的：研究并探讨甲状腺全切术治疗原发性甲状腺功能亢进合并甲状腺癌的临床治疗效果。方法：我院2014年6月-2016年7月期间，共收治原发性甲状腺功能亢进合并甲状腺癌患者22例，对本组患者的临床资料和治疗方法进行回顾性分析。结果：所有患者术前均确诊为原发性甲状腺功能亢进合并甲状腺癌。超声检查结果显示，所有患者均伴有甲状腺结节，结节大小为2-11mm之间。本组患者的治疗方法为甲状腺全切术。术后病理结果显示，乳头状癌患者14例，占63.64%，滤泡状癌患者4例，占18.18%，微小癌患者2例，占9.09%，未分化癌患者2例，占9.09%。术后，仅3例患者发生低钙、声音嘶哑等并发症，针对治疗后明显好转。随访3年，未出现甲状腺功能亢进和甲状腺癌复发病例。结论：甲状腺全切术是治疗原发性甲状腺功能亢进合并甲状腺癌的有效方法，临床疗效确切、不易复发，值得推广。 【关键词】甲状腺功能亢进；甲状腺癌；甲状腺全切术 【abstract】 objective: to study and discuss for the treatment of thyroid cutting all primary thyroid function hyperfunction with thyroid cancer of clinical therapeutic effect. Methods: our hospital during June 2014 - July 2014, a total primary thyroid function hyperfunction with treated 22 patients with thyroid carcinoma, the clinical data of the patients and treatment were retrospectively analyzed. Results: all patients with preoperative diagnosis of primary thyroid function hyperfunction with thyroid cancer. Ultrasound examination, according to the results of all patients with thyroid nodules, nodule size is between 2-11 mm. This group of patients with treatment for thyroid full cut method. Postoperative pathology, according to the results of 14 cases of papillary carcinoma patients, accounted for 63.64%, follicular carcinoma, 4 cases (18.18%), small carcinoma 2 cases, accounted for 9.09%, undifferentiated carcinoma in 2 cases, accounting for 9.09%. After surgery, only three patients occurred complications such as low calcium, voice hoarse, for improved significantly after treatment. Follow-up of 3 years, does not appear cases thyroid function and thyroid cancer recurrence. Conclusion: the thyroid cut method is the treatment of primary thyroid function hyperfunction with effective method of thyroid carcinoma, the clinical curative effect, is not easy to relapse, is worth promoting. 【key words】 thyroid function hyperfunction; Thyroid cancer; Thyroid full cut method 【中图分类号】R736.1 【文献标识码】A 【文章