CAJ | 학술논문

目的：探讨分化型甲状腺癌合理的手术治疗方式。方法回顾性分析武汉市汉南区人民医院普外科2011年3月~2014年3月间手术治疗分化型甲状腺癌42例的临床资料。结果本组42例中,40例为甲状腺乳头状癌,2例为滤泡状癌；行甲状腺全切26例,患侧腺叶+峡部+对侧近全切12例,患侧腺叶+峡部切除4例。行中央组淋巴结清扫19例,选择性淋巴结清扫9例。术后7例出现暂时性声音嘶哑；10例暂时性低钙血症。结论对于分化型甲状腺癌,临床分类、分期和术中冰冻切片快速病理检查结果,作为综合决定手术方式的依据。主张行甲状腺全切术或甲状腺近全切除术,并行相应颈淋巴结清扫。
목적：탐토분화형갑상선암합리적수술치료방식。방법회고성분석무한시한남구인민의원보외과2011년3월~2014년3월간수술치료분화형갑상선암42례적림상자료。결과본조42례중,40례위갑상선유두상암,2례위려포상암；행갑상선전절26례,환측선협+협부+대측근전절12례,환측선협+협부절제4례。행중앙조림파결청소19례,선택성림파결청소9례。술후7례출현잠시성성음시아；10례잠시성저개혈증。결론대우분화형갑상선암,림상분류、분기화술중빙동절편쾌속병리검사결과,작위종합결정수술방식적의거。주장행갑상선전절술혹갑상선근전절제술,병행상응경림파결청소。
Objective To explore appropriate surgical procedures for differentiated thyroid carcinoma. Methods Clinical data of 42 patients who received surgery for differentiated thyroid carcinoma from March 2011 to March 2014 in the department of general surgery in our hospital were retrospectively analyzed. Results Among the 42 patients, 40 patients were papillary thyroid carcinoma and 2 patients were follicular thyroid carcinoma; 26 patients received total thyroidectomy, 12 patients received resection of thyroid lobes+isthmus in affected side+near total thyroidectomy in opposite side, and 4 patients received resection of thyroid lobes+isthmus in affected side.19 patients received lymph node dissection of central group, and 9 patients received selective lymph node dissection. 7 patients showed temporary hoarseness after the surgery; 10 patients showed temporary hypocalcemia. Conclusion As for differentiated thyroid carcinoma, clinical classification, clinical staging and results of rapid pathological examination of frozen sections dur-ing the surgery are considered as proofs for comprehensive decision of surgical procedures. Total thy-roidectomy and near-total thyroidectomy are suggested, and neck lymph node dissection is carried out ap-propriately.