CAJ | 학술논문

目的：探讨多功能保留性颈淋巴结清扫术治疗甲状腺癌的可行性及意义。方法回顾性分析35例施行保留颈丛、肩胛舌骨肌及颈外静脉的多功能保留性颈淋巴结清扫术的甲状腺癌患者的临床资料。结果无手术死亡者，术后恢复良好，随访期间无复发。颈部外观无塌陷，所保留的神经功能从术后第1天开始逐渐恢复，表现为神经支配区域麻木感逐渐消失，术后3个月内均恢复。上肢活动良好，无臂丛神经和膈神经损伤。耳廓感觉恢复，下颈部及肩部无麻木感，颈部外观无改变。术后上颈及耳周疼痛或肩胛区疼痛明显17例，1～6周后好转。结论多功能保留性颈淋巴结清扫术既可达到根治肿瘤的目的，又能有效保留耳廓区、颈部、锁骨上区的感觉，合理、可行，但部分患者术后疼痛感明显。
목적：탐토다공능보류성경림파결청소술치료갑상선암적가행성급의의。방법회고성분석35례시행보류경총、견갑설골기급경외정맥적다공능보류성경림파결청소술적갑상선암환자적림상자료。결과무수술사망자，술후회복량호，수방기간무복발。경부외관무탑함，소보류적신경공능종술후제1천개시축점회복，표현위신경지배구역마목감축점소실，술후3개월내균회복。상지활동량호，무비총신경화격신경손상。이곽감각회복，하경부급견부무마목감，경부외관무개변。술후상경급이주동통혹견갑구동통명현17례，1～6주후호전。결론다공능보류성경림파결청소술기가체도근치종류적목적，우능유효보류이곽구、경부、쇄골상구적감각，합리、가행，단부분환자술후동통감명현。
Objective To explore the feasibility and significance of multifunctional reservation in cervical lymphadenec -tomy for thyroid carcinoma .Methods Clinical data of 35 cases of thyroid cancer were retrospectively analyzed .Results There was no surgical death ,postoperative recovery was good ,and there had no recurrence during follow-up.Neck appearance had no collapse,retained nerve function from the first day began to recover gradually , the retained innervation area characterized by numbness gradually disappear ,all recovered within 3 months.Upper-limb activity was good ,there were no brachial plexus nerve and phrenic nerve damage .Auricle sensation recovered ,there were no numbness in the neck and shoulders ,neck appearance had no change.Postoperative pain on the neck and ears was 17 cases,which recovered in 1~6 weeks.Conclusion Multifunctional reserve operation in the treatment of thyroid carcinoma is effective and feasible ,and can protect the neck feel and other functions , but some patients feel postoperative pain .