医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2014年
23期
4289-4292
,共4页
乔恩奇(综述)%葛明华%王可敬(审校)
喬恩奇(綜述)%葛明華%王可敬(審校)
교은기(종술)%갈명화%왕가경(심교)
小儿甲状腺外科疾病%小儿甲状腺切除术%外科治疗%疗效
小兒甲狀腺外科疾病%小兒甲狀腺切除術%外科治療%療效
소인갑상선외과질병%소인갑상선절제술%외과치료%료효
Pediatric thyroid surgical disease%Pediatric thyroidectomy%Surgery%Therapeutic effect
小儿甲状腺的外科疾病发病率很低。良性疾病包括Graves病、先天性甲状腺机能亢进、自主性高功能性腺瘤和甲状腺肿。恶性肿瘤中最常见的是分化型甲状腺癌和甲状腺髓样癌。甲状腺全切或次全切除术和加或不加中央区淋巴结清扫是最常用的手术方式。小儿甲状腺切除术必须由经验丰富的甲状腺外科医师操作,而且外科医师应作为包括儿科医师、麻醉科医师、病理科医师以及核医学科医师在内的多学科综合诊治团队的一部分,为患儿提供最佳的治疗。
小兒甲狀腺的外科疾病髮病率很低。良性疾病包括Graves病、先天性甲狀腺機能亢進、自主性高功能性腺瘤和甲狀腺腫。噁性腫瘤中最常見的是分化型甲狀腺癌和甲狀腺髓樣癌。甲狀腺全切或次全切除術和加或不加中央區淋巴結清掃是最常用的手術方式。小兒甲狀腺切除術必鬚由經驗豐富的甲狀腺外科醫師操作,而且外科醫師應作為包括兒科醫師、痳醉科醫師、病理科醫師以及覈醫學科醫師在內的多學科綜閤診治糰隊的一部分,為患兒提供最佳的治療。
소인갑상선적외과질병발병솔흔저。량성질병포괄Graves병、선천성갑상선궤능항진、자주성고공능성선류화갑상선종。악성종류중최상견적시분화형갑상선암화갑상선수양암。갑상선전절혹차전절제술화가혹불가중앙구림파결청소시최상용적수술방식。소인갑상선절제술필수유경험봉부적갑상선외과의사조작,이차외과의사응작위포괄인과의사、마취과의사、병이과의사이급핵의학과의사재내적다학과종합진치단대적일부분,위환인제공최가적치료。
Surgical diseases of the thyroid in the pediatrics are rare .Benign diseases include Graves′di-sease,congenital hyperthyroidism,toxic adenomas,and goiter.The most common malignancies are differentia-ted thyroid cancer and medullary thyroid cancer .Near-total or total thyroidectomy is the mostly common used surgery,with/without central lymph node dissection .It is necessary that pediatric thyroidectomy be performed by experienced thyroid surgeons.Further more,these surgeons,that include pediatricians,anesthesiologists, pathologists,and nuclear medicine physicians,should be as part of a multidisciplinary team to provide the best treatment.