甲状腺乳头状癌颈部转移淋巴结清扫研究进展-肿瘤学专业论文.docxVIP

PAGE PAGE 1 甲状腺乳头状癌颈部转移淋巴结清扫研究进展 【摘要】 目的： 探讨甲状腺乳头状癌颈部淋巴结转移特点以及淋巴结清扫的术式的研究 进展。 方法：在中国知网、万方网络数据库、维普网、Pubmed 数据库中，以“甲状腺 乳头状癌”、“ 淋巴结”、“ 转移”为关键词，查阅 2000 年 1 月—2014 年 12 月 有关甲状腺乳头状癌颈部淋巴结清扫的相关文献，进行分析和总结。 结果：甲状腺乳头状癌的发病率越来越高，合理的甲状腺乳头状癌颈部淋巴结清 扫术式，是防止患者术后复发、提高患者生活质量的关键因素。目前临床上对于 颈部转移淋巴结的研究已经取得了瞩目的进展。由于颈前区解剖结构复杂，如果 对该区不熟悉，手术并发症较多。另外，由于甲状腺癌预后极好，患者生存率高， 目前对于甲状腺癌术后前瞻性研究较少，因此是否对甲状腺乳头状癌颈部淋巴结 预防性清扫目前仍然争论较多。但大多数学者认为影响淋巴结转移的因素主要有 性别、年龄、肿瘤大小、病理分期以及局部包膜侵犯。目前，对于甲状腺乳头状 癌颈部淋巴结清扫更趋向于个体化治疗。 结论：甲状腺乳头状癌预后好，生存率高。根据病情实施个体化手术治疗，能够 有效减少局部复发，对提高病人的生活质量有重要的意义。 【关键词】 甲状腺乳头状癌；淋巴结；转移。 Research progress in metastatic cervical lymph node dissection of thyroid papillary carcinoma 【Abstract】 Objective: To investigate research progress in metastatic cervical lymph node dissection of thyroid papillary carcinoma. Method: To analyze and summarize all the related literatures about metastatic cervical lymph node dissection of thyroid papillary carcinoma by the key words of Papillary thyroid carcinoma, Lymph node and Metastasis in the database of HowNet, WanFang, VIP network and Pubmed data from January 2000 to December 2004. Result: The incidence of thyroid papillary carcinoma is higher and higher. Reasonable cervical lymph node dissection of thyroid papillary carcinoma is the key factor to prevent the recurrence of the disease and improve the quality of patients, life. Currently, clinical research in metastatic cervical lymph node has made remarkable progress. Due to the intricate anatomical structure of cervical anterior region, surgical complications would be very common if we were not familiar with this area. In addition, because of the superb prognosis and high survival rate and the lack of prospective study, whether metastatic cervical lymph node dissection of the thyroid papillary carcinoma is still remaining drastic debate. But most scholars believe that the major impact factors of metastatic lymph node include gender, age, tumor size, pathologic staging and local capsular inv