中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2013年
11期
801-804
,共4页
唐玮韬%董岿然%肖现民%郑珊%李凯%王卓颖
唐瑋韜%董巋然%肖現民%鄭珊%李凱%王卓穎
당위도%동규연%초현민%정산%리개%왕탁영
儿童%甲状腺癌%淋巴结%颈淋巴结清扫术
兒童%甲狀腺癌%淋巴結%頸淋巴結清掃術
인동%갑상선암%림파결%경림파결청소술
Child%Cancer of thyroid%Lymph nodes%Neck dissection
目的 探讨儿童分化型甲状腺癌手术方式的选择.方法 通过回顾性分析9年来对17例患儿实施的手术方式,分析术后患儿的复发、再次治疗及预后等情况.结果 5例失访,随访成功的12例中10例恢复良好,2例复发,再行治疗后恢复情况满意.结论 对于儿童分化型甲状腺癌患者,大部切除原则可能不适用,应该根据儿童的生长发育特点及儿童甲状腺癌低恶性等特点,严格掌握手术范围.对单侧甲状腺癌患儿的原发灶处理,应尽量保留健侧的甲状腺组织,行患侧甲状腺腺叶加峡部切除术.
目的 探討兒童分化型甲狀腺癌手術方式的選擇.方法 通過迴顧性分析9年來對17例患兒實施的手術方式,分析術後患兒的複髮、再次治療及預後等情況.結果 5例失訪,隨訪成功的12例中10例恢複良好,2例複髮,再行治療後恢複情況滿意.結論 對于兒童分化型甲狀腺癌患者,大部切除原則可能不適用,應該根據兒童的生長髮育特點及兒童甲狀腺癌低噁性等特點,嚴格掌握手術範圍.對單側甲狀腺癌患兒的原髮竈處理,應儘量保留健側的甲狀腺組織,行患側甲狀腺腺葉加峽部切除術.
목적 탐토인동분화형갑상선암수술방식적선택.방법 통과회고성분석9년래대17례환인실시적수술방식,분석술후환인적복발、재차치료급예후등정황.결과 5례실방,수방성공적12례중10례회복량호,2례복발,재행치료후회복정황만의.결론 대우인동분화형갑상선암환자,대부절제원칙가능불괄용,응해근거인동적생장발육특점급인동갑상선암저악성등특점,엄격장악수술범위.대단측갑상선암환인적원발조처리,응진량보류건측적갑상선조직,행환측갑상선선협가협부절제술.
Objective To discuss the surgical treatment of children with differentiated thyroid carcinoma.Methods A retrospective analysis was performed for 17 cases who had presented in the past 9 years.The patients' case histories,recurrence,treatment and prognosis were analysed.Results Five cases were lost to follow-up.Among the 12 cases available,10 had recovered well.2 had recurrence,but had recovered after secondary treatment.Conclusions For pediatric differentiated thyroid carcinoma,total or near total thyroidectomy can not be needed.The use of thyroid lobectomy can result in similar outcome.
