CAJ | 학술논문

目的探讨Ⅵ区淋巴结清扫在临床颈淋巴结阴性(cN0)的甲状腺乳头状癌(papillary thyroid carcinoma,PTC)治疗中的意义.方法回顾性分析38例行Ⅵ区淋巴结清扫治疗的cN0期PTC的临床资料,结合文献探讨其颈淋巴结清扫范围和操作要点.结果全组无永久性喉返神经及甲状旁腺损伤,隐性Ⅵ区淋巴结转移14例(36.84％)；经5年以上随访,生活质量均良好,3例发现颈侧区淋巴结转移(7.89％),行功能性颈淋巴结清扫术,随访2年以上无复发、转移.结论 cN0期PTC行Ⅵ区淋巴结清扫术治疗安全可靠,术后并发症较少.
목적 탐토Ⅵ구림파결청소재림상경림파결음성(cN0)적갑상선유두상암(papillary thyroid carcinoma,PTC)치료중적의의.방법 회고성분석38례행Ⅵ구림파결청소치료적cN0기PTC적림상자료,결합문헌탐토기경림파결청소범위화조작요점.결과 전조무영구성후반신경급갑상방선손상,은성Ⅵ구림파결전이14례(36.84％)；경5년이상수방,생활질량균량호,3례발현경측구림파결전이(7.89％),행공능성경림파결청소술,수방2년이상무복발、전이.결론 cN0기PTC행Ⅵ구림파결청소술치료안전가고,술후병발증교소.
Objective To discuss the significance of region Ⅵ lymph nodes dissection in treatment of patients with clinical cervical nodes negative(cN0)papillary thyroid carcinoma(PTC).Methods Clinical data of 38 cases of cN0 PTC treated with region Ⅵ lymph nodes dissection were retrospectively analyzed.The related literature was reviewed.The cervical nodes dissection scope and the key operation points in treatment of cN0 PTC were discussed.Results No permanent recurrent laryngeal nerve injury or parathyroid damage happened.14 cases(36.84％)had occult lymph node metastasis to region Ⅵ lymph nodes.After more than 5 years of follow-up,all the cases had excellent life quality.3 cases(7.89％)were found lymph node metastasis to lateral cervical region and they were given functional neck dissection.No recurrence or metastasis occurred to the 3 cases during more than 2 years of follow-up.Conclusion Region Ⅵ lymph node dissection in treatment of cN0 PTC is safe,reliable,and with less complications.