CAJ | 학술논문

目的：探讨分化型甲状腺癌手术治疗的方式、效果。方法：2007年6月-2013年3月收治分化型甲状腺癌患者176例，回顾分析其临床资料。结果：176例均行甲状腺切除术，无一例患者发生手术死亡，2例患者术后发生喉返神经损伤，术后4～5个月恢复正常；在行双侧甲状腺全切术的患者中，21例患者术后出现低钙性抽搐，经补钙后恢复正常。术后随访1～6年，再手术5例，颈部淋巴结转移4例，骨转移2例。结论：分化型甲状腺癌行甲状腺手术治疗是首选方法。
목적：탐토분화형갑상선암수술치료적방식、효과。방법：2007년6월-2013년3월수치분화형갑상선암환자176례，회고분석기림상자료。결과：176례균행갑상선절제술，무일례환자발생수술사망，2례환자술후발생후반신경손상，술후4～5개월회복정상；재행쌍측갑상선전절술적환자중，21례환자술후출현저개성추휵，경보개후회복정상。술후수방1～6년，재수술5례，경부림파결전이4례，골전이2례。결론：분화형갑상선암행갑상선수술치료시수선방법。
Objective:To explore the way and the effect of operation treatment of differentiated thyroid carcinoma.Methods:176 cases with differentiated thyroid carcinoma were selected from June 2007 to March 2013.The clinical data of patients were retrospectively analyzed.Results:All 176 cases were given thyreoidectomy.There was no 1 case of operation death.2 cases occurred recurrent laryngeal nerve injury after operation,and they returned to normal 4~5 months after operation.In the cases with bilateral thyroid full cut operation,21 cases occurred low calcium seizures after operation,and they returned to normal after calcium supplement.After followed up for 1~6 years after operation,5 cases were reoperation;4 cases were cervical lymph nodes metastasis;2 cases were bone metastasis.Conclusion:The thyroid operative treatment is the first choice method for differentiated thyroid carcinoma.