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[目的]探讨甲状腺微小癌不同手术方式治疗对临床疗效及预后的影响。[方法]回顾性分析190例甲状腺微小癌的临床资料,手术方式,随访情况。[结果]不同手术方式对生存率无明显影响,但对复发,转移,无瘤生存关系密切,34例再次手术患者原因为残叶复发3例,对侧叶发病3例,同侧颈部淋巴转移28例,而首次行腺叶+峡部切除+中央组淋巴清扫组同颈淋巴功能颈清组疗效相仿,5年无瘤生存率100%。[结论]甲状腺患侧叶全切+峡部切除+中央组淋巴清扫对甲状腺微小癌治疗效果满意,可作为规范术式推广。
[Objective] To investigate the effect of different surgical methods on the clinical efficacy and prognosis of thyroid microcarcinoma. [Methods] A retrospective analysis of 190 cases of thyroid microcarcinoma clinical data, surgical methods, follow-up. [Results] There was no significant difference in the survival rate between different surgical approaches, but the recurrence, metastasis and tumor-free survival were closely related. Re-operation in 34 patients was caused by residual stump recurrence in 3 cases, lateral lobe in 3 cases, ipsilateral neck lymph Metastasis in 28 cases, while the first line of gland lobectomy + isthmic resection + central lymphoid dissection group with cervical lymphatic function similar to neck clearance group, 5-year disease-free survival rate of 100%. [Conclusion] Total thyroidectomy with isthmus + isthmic resection + central lymphadenectomy is satisfactory for the treatment of thyroid microcarcinoma and can be used as a standard surgical procedure.