CAJ | 학술논문

目的探讨分化型甲状腺癌的诊治方法选择.方法回顾性分析我院治疗的67例分化型甲状腺癌临床资料.结果失访12例,复发9例,死亡2例,5年生存率94%,10年生存率89%.结论对分化型甲状腺癌,主张行患侧腺叶加峡部切除及对侧腺叶次全切除.对颈淋巴结阳性,同时行患侧功能性颈淋巴结清扫术;术后行131Ⅰ治疗者,复发和死亡率明显低于仅行甲状腺激素替代治疗或未行任何治疗者.
목적 탐토분화형갑상선암적진치방법선택.방법 회고성분석아원치료적67례분화형갑상선암림상자료.결과 실방12례,복발9례,사망2례,5년생존솔94%,10년생존솔89%.결론 대분화형갑상선암,주장행환측선협가협부절제급대측선협차전절제.대경림파결양성,동시행환측공능성경림파결청소술;술후행131Ⅰ치료자,복발화사망솔명현저우부행갑상선격소체대치료혹미행임하치료자.
Objective To explore the differentiated thyroid cancer diagnosis and treatment options.Methods Clinical data of 67 patients with differentiated thyroid carcinoma from 1996 to 2008 were reviewed retrospectively.Results 12 cases lost follow-up,9 cages recurred,2 eases died,the 5-year and 10-year survival rate were 94%and 89%.Conclusions Excision of the tumor located lobe,isthmus and subtotal lobectomy for the eontralateral lobe is appropriate for differentiated thyroid carcinoma.Tumor ipsilateral side functional cervical dissection is appropriate for patients with cervical lymph node metastasis.131Ⅰ treatment can significantly lower the recurrence and mortality compare to those patients only treated with thyroid hormones replacement or without any treatment after poeration.