CAJ | 학술논문

目的：探讨耳后发缘低领口状切口的功能性颈清术在分化型甲状腺癌治疗中的作用。方法回顾性分析我科11例甲状腺乳头状癌患者行耳后发缘切口的功能性颈清术治疗的临床资料。结果11例患者术后切口日常情况隐匿不可见，患者对术后外观满意度高，无肩综合征，术后无局部复发及远处转移。结论耳后发缘低领口状切口的功能性颈清术既能达到治疗目的，相较于传统功能性颈清术，能明显改善术后颈部外形，提高患者术后的生活质量，值得临床推广应用。
목적：탐토이후발연저령구상절구적공능성경청술재분화형갑상선암치료중적작용。방법회고성분석아과11례갑상선유두상암환자행이후발연절구적공능성경청술치료적림상자료。결과11례환자술후절구일상정황은닉불가견，환자대술후외관만의도고，무견종합정，술후무국부복발급원처전이。결론이후발연저령구상절구적공능성경청술기능체도치료목적，상교우전통공능성경청술，능명현개선술후경부외형，제고환자술후적생활질량，치득림상추엄응용。
Objective To explore role of functional neck dissection for lower collar-shaped incision at hair margin behind ear in the treatment of differentiated thyroid cancer. Methods The clinical data of 11 patients with thyroid papillary carcinoma who underwent func-tional neck dissection for lower collar-shaped incision at hair margin behind ear were retrospectively analyzed. Results The incisions of all patients were unseen in daily life and patients were satisfied with the postoperative appearances. No case of shoulder syndrome,postoperative local recurrence and distant metastasis was observed. Conclusion Functional neck dissection for lower collar-shaped incision at hair margin behind ear is effective in the treatment of differentiated thyroid cancer. Meanwhile it can obviously improve patients’ postoperative appearance and life quality,therefore it is worth clinical application.