CAJ | 학술논문

目的探讨甲状腺癌的手术方式选择和影响预后相关因素.方法对487例甲状腺癌手术治疗病例的临床资料进行回顾性分析.结果单侧腺叶、峡部切除64例;单侧腺叶、峡部加同侧颈淋巴结清除术43例;单侧腺叶、峡部、对侧腺叶次全切143例;单侧腺叶、峡部、对侧腺叶次全切加同侧颈淋巴结清除术163例;双侧甲状腺全切术加一侧颈淋巴结清扫术46例;局部姑息性切除术28例.甲状腺癌总体1、3、5年生存率分别为99.0%、96.5%、92.6%.结论肿瘤的部位、术中冷冻快速切片、临床分期、术前B超等决定原发灶的手术方式.年龄、TNM分期、手术方式与患者术后5年生存率有关.手术方式是预后的独立影响因素.
목적 탐토갑상선암적수술방식선택화영향예후상관인소.방법 대487례갑상선암수술치료병례적림상자료진행회고성분석.결과 단측선협、협부절제64례;단측선협、협부가동측경림파결청제술43례;단측선협、협부、대측선협차전절143례;단측선협、협부、대측선협차전절가동측경림파결청제술163례;쌍측갑상선전절술가일측경림파결청소술46례;국부고식성절제술28례.갑상선암총체1、3、5년생존솔분별위99.0%、96.5%、92.6%.결론 종류적부위、술중냉동쾌속절편、림상분기、술전B초등결정원발조적수술방식.년령、TNM분기、수술방식여환자술후5년생존솔유관.수술방식시예후적독립영향인소.
Objective To investigate the operation treatment and prognostic factors of thyroid carcinoma. Methods Clinical data of 487 cases of thyroid carcinoma were analyzed retrospectively from March 1990 to July 2006 in Xiangya Hospital. Results Half gland and isthmic portion excision, half gland and isthmic portion excision plus ipsilateral lymph node dissection, half gland and isthmic portion and majority opposite side excision,half gland and isthmic portion and contralateral majority excision plus ipsilateral lymph nodedissection, total thyroidectomy plus ipsilateral lymph node dissection and local alleviative surgery had been performed in 64, 43, 143, 163, 46 and 28 patients, respectively. The 1 - , 3 - and 5 - year survival of thyroid carcinoma after operation were 99. 0% , 96. 5% and 92. 6% , repsectively. Conclusion The position of the tumor, intra -operative frozen section, clinical stage and preoperative B ultrasonography are helpful for the choice of operative methods. The age, TNM stage and operative methods affect the 5 -year survival. Furthermore, the operative method is an independent pronostic factor.