CAJ | 학술논문

目的探讨甲状腺乳头状癌术后并发症的发生原因及其预防措施.方法对2012年7月至2013年7月在郑州大学第一附属医院甲状腺外科行手术治疗的358例甲状腺乳头状癌患者的临床资料进行综合分析.结果全甲状腺切除、有甲状腺手术史、肿瘤有腺外侵犯的患者术后并发症发生率分别高于单侧甲状腺腺叶切除、首次手术、无腺外侵犯者(P＜0.05).结论全甲状腺切除、甲状腺手术史及肿瘤腺外侵犯是甲状腺乳头状癌术后并发症发生的危险因素.术者应提高手术技巧,术中应尽量精细化操作以减少术后并发症的发生.
목적 탐토갑상선유두상암술후병발증적발생원인급기예방조시.방법 대2012년7월지2013년7월재정주대학제일부속의원갑상선외과행수술치료적358례갑상선유두상암환자적림상자료진행종합분석.결과 전갑상선절제、유갑상선수술사、종류유선외침범적환자술후병발증발생솔분별고우단측갑상선선협절제、수차수술、무선외침범자(P＜0.05).결론 전갑상선절제、갑상선수술사급종류선외침범시갑상선유두상암술후병발증발생적위험인소.술자응제고수술기교,술중응진량정세화조작이감소술후병발증적발생.
Objective To analyze the causes and prevention of postoperative complications related to papillary thyroid carcinoma.Methods The clinical data of 358 patients with papillary thyroid carcinoma who were operated by the surgeons in the first affiliated hospital of Zhengzhou wiversity from July 2012 to July 2013 were analyzed.Results The incidence of postoperative complications in patients with total thyroid resection,thyroid operation history,extraglandular invasion was higher respectively than that with hemithyroidectomy,the first operation,no extraglandular invasion(P ＜ 0.05).Conclusions Total thyroidectomy,thyroid gland operation history and extraglandular invasion were risk factors of postoperateive complications related to papillary thyroid carcinoma.The surgeons should improve the operation skills and operate very carrefully to reduce the incidence of postoperative complications.