Ⅵ区淋巴结清扫在甲状腺微小乳头状癌手术治疗中应用.docVIP

Ⅵ区淋巴结清扫在甲状腺微小乳头状癌手术治疗中应用 　　【摘要】目的 分析探讨Ⅵ区淋巴结清扫在甲状腺微小乳头状癌手术治疗中的应用情况及意义。方法 将48例患者按是否进行Ⅵ区淋巴结清扫，分为观察组和对照组，所有患者均行甲状腺全切或次全切术，观察组患者加行颈Ⅵ区淋巴结清扫术，术后Ⅵ区淋巴结清扫标本及时送检病理科。计算送检标本阳性率及转移率，随访一年后对比分析两组患者转移率及存活率。结果 术后观察组24例患者共送检淋巴结192枚，检出7例患者阳性淋巴结29枚，Ⅵ区淋巴结转移率29.17%。随访一年后，48例患者发生转移者18例，存活36例，复发转移方面观察组明显少于对照组，经统计两组相比有显著性差异（P0.05）；存活方面观察组明显高于对照组，经统计两组相比有显著性差异（P0.05）。结论 甲状腺微小乳头状癌手术治疗中行Ⅵ区淋巴结清扫可降低转移率，延长患者生存期，临床应推广采用。 　　【关键词】Ⅵ区淋巴结清扫 甲状腺微小乳头状癌 应用 意义 　　中图分类号：R581 文献标识码：B 文章编号：1005-0515（2011）5-036-02 　　Ⅵ Lymph nodes dissection surgery treatment of in papillary thyroid cancer 　　【Abstract】Objective Analysis and Discussion the Ⅵ areas of lymph node dissection of thyroid papillary carcinoma in the surgical treatment of the application and significance. Method The 48 patients according to whether lymph node dissection Ⅵ area, divided into two groups and the control group, all patients underwent total thyroidectomy or subtotal resection, plus observation group Ⅵ District cervical lymph node dissection, lymph nodes after Ⅵ Pathology specimens were cleaned in time for inspection. Calculation of submission, the positive rate and transfer rate, follow-up were compared between two groups one year after the transfer rate and survival. Results Group of 24 patients were observed after the inspection a total of 192 lymph nodes, 7 patients with positive lymph nodes detected in 29, Ⅵ lymph nodes metastasis rate 29.17%. After one year follow-up, 48 patients developed metastases in 18 cases, 36 cases survived, transfer of the observation group was significantly less than the control group, compared the two groups by statistical significant difference (P 0.05); survival was significantly higher observed In the control group, compared the two groups by statistical significant difference (P 0.05). Conclusions Surgical treatment of papillary thyroid carcinoma lymph node dissection Bank Ⅵ area can reduce the transfer rate and prolong survival in patients with clinical use should be promoted. 　　【Key words】Ⅵ area lym