中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
24期
32-33
,共2页
甲状腺%隐匿性癌%诊断%治疗
甲狀腺%隱匿性癌%診斷%治療
갑상선%은닉성암%진단%치료
Thyroid%Occult cancer%Diagnosis%Treatment
目的 探讨隐匿性甲状腺癌的临床诊治特点.方法 对2006年3月至2012年3月收治的72例隐匿性甲状腺癌患者的资料进行回顾性分析.结果 共行单侧甲状腺腺叶加峡部切除术62例,双侧甲状腺次全切除术2例,单侧腺叶、峡部切除术加同侧颈淋巴结清扫术7例,双侧甲状腺次全切除加淋巴结清扫1例.全组72例无手术死亡和术后并发症.结论 隐匿性甲状腺癌术前不易确诊,且易漏诊,对甲状腺良性疾病手术时应仔细触诊,对可疑结节行冰冻切片.首次手术应行患侧腺叶及峡部切除术,有淋巴结转移者行功能性淋巴结清扫术.
目的 探討隱匿性甲狀腺癌的臨床診治特點.方法 對2006年3月至2012年3月收治的72例隱匿性甲狀腺癌患者的資料進行迴顧性分析.結果 共行單側甲狀腺腺葉加峽部切除術62例,雙側甲狀腺次全切除術2例,單側腺葉、峽部切除術加同側頸淋巴結清掃術7例,雙側甲狀腺次全切除加淋巴結清掃1例.全組72例無手術死亡和術後併髮癥.結論 隱匿性甲狀腺癌術前不易確診,且易漏診,對甲狀腺良性疾病手術時應仔細觸診,對可疑結節行冰凍切片.首次手術應行患側腺葉及峽部切除術,有淋巴結轉移者行功能性淋巴結清掃術.
목적 탐토은닉성갑상선암적림상진치특점.방법 대2006년3월지2012년3월수치적72례은닉성갑상선암환자적자료진행회고성분석.결과 공행단측갑상선선협가협부절제술62례,쌍측갑상선차전절제술2례,단측선협、협부절제술가동측경림파결청소술7례,쌍측갑상선차전절제가림파결청소1례.전조72례무수술사망화술후병발증.결론 은닉성갑상선암술전불역학진,차역루진,대갑상선량성질병수술시응자세촉진,대가의결절행빙동절편.수차수술응행환측선협급협부절제술,유림파결전이자행공능성림파결청소술.
Objective To investigate the characteristics for the diagnosis and treatment of occult cancer of the thyroid (OCT).Methods The clinical data of 72 cases of OCT undergoing surgical treatment in our hospital from March 2006 to March 2012 were retrospectively analyzed.Results Total resection of the affected lobe and isthmus was performed in 62 cases.Subtotal thyroidectomy was performed in 2 cases.Total resection of the affected lobe,isthmus and neck dissection was performed in 7 cases.There was no mortality in operation or postoperative complication.Conclusions It is difficult to diagnose OCT preoperative and sometimes misdiagnosed.There should be palpate carefully during the operation of benign thyroid disease,and give frozen section to the suspected nodules.Patients treated by excision of the suffered lobe and isthmus on the first-time operation.Functional neck lymph node excision should be taken,if the neck lymph node can be palpable.
