甲状腺癌手术治疗32例.docVIP

精品论文 参考文献 甲状腺癌手术治疗32例 1上海市同仁医院 上海 200050；2上海交通大学附属第六人民医院外科 上海 200050 【摘 要】目的：探讨甲状腺癌的手术方式和治疗的效果。方法：回顾性分析10年来32例甲状腺癌的临床资料；左侧14例，右侧16例，双侧2例。甲状腺乳头状腺癌29例，甲状腺滤泡状腺癌3例。患侧腺叶全切+峡部切除21例，患侧腺叶全切+峡部切除+对侧次全切除6例，双侧甲状腺全切5例。功能性颈淋巴结清扫11例。结果：全组康复良好，经1~10年随访无肿瘤复发或颈淋巴结转移。结论：患侧腺叶全切+峡部切除术是最合适的术式，对有颈淋巴结转移或/和对侧甲状腺叶亦有结节者应作患侧腺叶全切+峡部切除、颈淋巴结清扫和对侧甲状腺次全切除术，对滤泡状腺癌应作双侧甲状腺与峡部全切除术。 【关键词】甲状腺癌；手术治疗；颈淋巴结清扫 Thyroidectomy for Thyroid carcinoma in32 cases 落Hou baosheng 1，Lin qingtian2，Jin li 1，Den lei1 1，Department of General Surgery，Shanghai tongren hospital，Shanghai Renji Hospital Changning Distract Hospital，Shanghai 200050 2，Department of General Surgery，the Sixth Peoplersquo;Hospital affiliated to Shanghai Jiaotong University，Shanghai 200233 [Abstract] Objective: To study the operative style and effect of thyroidectomy for Thyroid carcinoma. Methods: clinical data of thyroid carcinoma in 32 cases from January 2000 to December 2009 were analyzed retrospectively. Papillary thyroid carcinoma in 29 cases，follicle thyroid carcinoma in 3 cases，unilateral thyroidectomy and isthmus resection in 21 cases，unilateral thyroidectomy and isthmus resection and opposite subtotal thyroidectomy in 6 cases，bilateral thyroidectomy （total thyroidectomy） in 5 case. Functional neck lymphonodi dissection in 11 cases. Results: All cases were recovery well and follow up for 1~10 years no recurrence and lymphonodi metastasis. Conclusion: Unilateral thyroidectomy and isthmus resection are optimum operative style of thyroid carcinoma. If neck lymphonode metastasis or opposite thyroid lobe has node lesion，unilateral thyroidectomy and isthmus resection and neck lymphonode dissection and opposite subtotal thyroidectomy need to perform. Follicle thyroid carcinoma need to carry out bilateral thyroidectomy. [Key Words] Thyroid carcinoma Thyroidectomy neck lymphonodi dissection 【中图分类号】R736.1【文献标识码】A【文章编号】2096-0867（2016）-08-008-02 甲状腺癌的发病率占全身恶性肿瘤的0.2%（男性）~1%（女性）[1]，其中以甲状腺乳头状腺癌和甲状腺滤泡状腺癌为多见，约占80%[2]。目前外科临床上对甲状腺癌主要是采用手术