CAJ | 학술논문

目的探讨甲状腺癌手术治疗方式的选择及其临床效果.方法选取110例甲状腺癌患者,72例乳头状癌、28例滤泡状癌、6例未分化癌、4例髓样癌,根据患者全身情况、病理类型及淋巴结转移等因素综合分析,分别采用不同的手术方式,52例行甲状腺全切除术伴或不伴一侧颈淋巴结清扫术或双侧颈淋巴结清扫术、35例行甲状腺次全切除术伴或不伴一侧颈淋巴结清扫术或双侧颈淋巴结清扫术、23例行一侧腺叶切除加峡部切除术.结果本组110例患者无1例死亡,治疗前TSH为(0.48±0.25)mu/L,治疗后为(0.15±0.07)mu/L,差异有统计学意义(P﹤0.05),随访患者1年,无1例复发,2例(1.82%)死于脑转移.结论甲状腺癌的四种类型肿瘤转移及恶性程度均有其自身的特点,临床上应根据患者病理类型、全身情况及淋巴结转移情况选择合理的术式,才能达到良好的手术效果.
목적탐토갑상선암수술치료방식적선택급기림상효과.방법선취110례갑상선암환자,72례유두상암、28례려포상암、6례미분화암、4례수양암,근거환자전신정황、병리류형급림파결전이등인소종합분석,분별채용불동적수술방식,52례행갑상선전절제술반혹불반일측경림파결청소술혹쌍측경림파결청소술、35례행갑상선차전절제술반혹불반일측경림파결청소술혹쌍측경림파결청소술、23례행일측선협절제가협부절제술.결과본조110례환자무1례사망,치료전TSH위(0.48±0.25)mu/L,치료후위(0.15±0.07)mu/L,차이유통계학의의(P﹤0.05),수방환자1년,무1례복발,2례(1.82%)사우뇌전이.결론갑상선암적사충류형종류전이급악성정도균유기자신적특점,림상상응근거환자병리류형、전신정황급림파결전이정황선택합리적술식,재능체도량호적수술효과.
Objective To study the choice of the treatment ways for thyroid cancer surgery and its clinical effect. Methods The patients with thyroid cancer 110 cases, 72 cases of papillary carcinoma, 28 cases of follicular carcinoma, 6 cases of undifferentiated carcinomas, 4 cases medullary cancer, according to patients with systemic situation, the pathological types and lymph node metastasis factors such as comprehensive analysis, we adopt different operation method, 52 routine thyroid total resection with or not side with cervical and dissections or bilateral cervical and dissections, 35 received subtotal thyroidectomy is with or not side with cervical and dissections or bilateral cervical and dissections, 23 routine side gland leaves resection with resection of the isthmus. Results The 110 patients with no one was killed, before treatment TSH for (0.48±0.25)mu/L, after treatment for (0.15±0.07)mu/L, the difference was statistically significant (P﹤ 0.05), the patients were followed-up for 1 year, no one was a relapse, 2 cases(1.82%) died of brain metastases. Conclusion Four kinds of thyroid carcinoma metastatic tumors and degree of malignancy all has the characteristics of its own, and clinical pathologic types should be according to the patient, body and the choice of the lymph node metastasis reasonable operation, can achieve good operation effect.