中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
21期
17-18
,共2页
甲状腺肿瘤%再手术%颈淋巴结清扫
甲狀腺腫瘤%再手術%頸淋巴結清掃
갑상선종류%재수술%경림파결청소
Thyroid neoplasm%Reoperation%Radical neck lymph node dissection
目的 探讨甲状腺癌再次手术的意义、手术方式和注意事项.方法 对32例再手术的甲状腺癌患者的临床病理资料进行回顾性分析.结果 总的癌残留率为46.9%(15/32).原发部位残癌率为28.1%(9/32),淋巴结转移率为46.4%(13/28).再次手术所致喉返神经麻痹的发生率为6.3%(2/32),甲状旁腺损伤的发生率为3.1%(1/32).结论 甲状腺癌不规范手术的术后残癌率较高,再手术应根据病情采取恰当的手术方式,疑有淋巴结转移时应行规范化的颈淋巴结清扫术.术中避免喉返神经和甲状旁腺的损伤.
目的 探討甲狀腺癌再次手術的意義、手術方式和註意事項.方法 對32例再手術的甲狀腺癌患者的臨床病理資料進行迴顧性分析.結果 總的癌殘留率為46.9%(15/32).原髮部位殘癌率為28.1%(9/32),淋巴結轉移率為46.4%(13/28).再次手術所緻喉返神經痳痺的髮生率為6.3%(2/32),甲狀徬腺損傷的髮生率為3.1%(1/32).結論 甲狀腺癌不規範手術的術後殘癌率較高,再手術應根據病情採取恰噹的手術方式,疑有淋巴結轉移時應行規範化的頸淋巴結清掃術.術中避免喉返神經和甲狀徬腺的損傷.
목적 탐토갑상선암재차수술적의의、수술방식화주의사항.방법 대32례재수술적갑상선암환자적림상병리자료진행회고성분석.결과 총적암잔류솔위46.9%(15/32).원발부위잔암솔위28.1%(9/32),림파결전이솔위46.4%(13/28).재차수술소치후반신경마비적발생솔위6.3%(2/32),갑상방선손상적발생솔위3.1%(1/32).결론 갑상선암불규범수술적술후잔암솔교고,재수술응근거병정채취흡당적수술방식,의유림파결전이시응행규범화적경림파결청소술.술중피면후반신경화갑상방선적손상.
Objective To discuss the significance, mode, and attentive proceedings of the reoperation for thyroid carcinoma. Methods The clinical pathological datas of 32 thyroid carcinoma reoperation cases were analyzed retrospectively. Results The rate of residual cancer was 46.9%(15/32), in which the residual cancer rate the primary site of was 28.1%(9/32). The rate of lymphnode metastasis was 46.4%(13/28). The rate of laryngeal recurrent nerve injury was 6.3%(2/32)and parathyroid injury was 3.1%(1/32), respectively. Conclusions The rate of residual cancer is high in patients with thyroid cancer underwent nonstandard operation. Reoperation should choose correct operative manipulation according to the patient's condition. Laryngeal recurrent nerve and parathyroid injury should be avoided during surgery for thyroid cancer.
