中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
17期
2581-2583
,共3页
淋巴结切除术%甲状腺肿瘤
淋巴結切除術%甲狀腺腫瘤
림파결절제술%갑상선종류
Lymph node excision%Thyroid neoplasms
目的 探讨甲状腺乳头状癌淋巴结转移规律,为选择性颈淋巴结清除术提供依据.方法 回顾性分析50例甲状腺乳头状癌患者临床资料及随访结果.结果 选择性颈淋巴结清扫数目平均4.2枚/例,淋巴结转移19例(38.0％),发生术后并发症6例(12.0％),该组随访4年无甲状腺癌复发或转移.4例在随访期间出现颈侧区淋巴结转移,占8.0％.结论 原发灶根治+选择性颈淋巴结清扫是治疗Ⅰ、Ⅱ期甲状腺乳头状癌的有效术式.
目的 探討甲狀腺乳頭狀癌淋巴結轉移規律,為選擇性頸淋巴結清除術提供依據.方法 迴顧性分析50例甲狀腺乳頭狀癌患者臨床資料及隨訪結果.結果 選擇性頸淋巴結清掃數目平均4.2枚/例,淋巴結轉移19例(38.0％),髮生術後併髮癥6例(12.0％),該組隨訪4年無甲狀腺癌複髮或轉移.4例在隨訪期間齣現頸側區淋巴結轉移,佔8.0％.結論 原髮竈根治+選擇性頸淋巴結清掃是治療Ⅰ、Ⅱ期甲狀腺乳頭狀癌的有效術式.
목적 탐토갑상선유두상암림파결전이규률,위선택성경림파결청제술제공의거.방법 회고성분석50례갑상선유두상암환자림상자료급수방결과.결과 선택성경림파결청소수목평균4.2매/례,림파결전이19례(38.0％),발생술후병발증6례(12.0％),해조수방4년무갑상선암복발혹전이.4례재수방기간출현경측구림파결전이,점8.0％.결론 원발조근치+선택성경림파결청소시치료Ⅰ、Ⅱ기갑상선유두상암적유효술식.
Objective To explore the rule of papillary thyroid carcinoma lymph node metastasis,and provide the basis for cervical lymph node dissection in papillary thyroid carcinoma selective node.Methods The clinical data and follow-up results of 50 cases with thyroid papillary carcinoma were retrospectively analyzed.Results Average number of selective neck dissection was 4.2 cases,lymph node metastasis in 19 cases (38.0％),6 cases had postoperative complications(12.0％).The patients were followed-up for 4 years without recurrence or metastasis of thyroid cancer.4 cases during the follow-up period appeared neck lymph node metastasis,accounted for 8.0％.Conclusion Primary radical combined with selective neck dissection is an effective procedure for the treatment of Ⅰ,Ⅱ stage of thyroid papillary carcinoma.
