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目的:探讨甲状腺微小癌的诊断与外科手术治疗。方法:分析我院1996年1月至2005年12月经过手术与病理证实的甲状腺微小癌34例患者的临床资料,并对其进行随访。结果:所有病例均接受手术治疗并经过病理学检查证实为甲状腺微小癌,32例合并有甲状腺其它良性病变,其中合并结节性甲状腺肿20例,合并甲亢5例,合并甲瘤7例。2例有颈部淋巴结转移。随访时间6个月～8年,随访率94%,其中1例术后复发。结论:甲状腺微小癌在临床上容易漏诊,绝大多数因为良性病变在术中、术后或者淋巴结转移而发现,甲状腺腺叶全切或次全切除治疗微小癌效果好,甲状腺微小癌的预后较好。
Objective: To investigate the diagnosis and surgical treatment of thyroid microcarcinoma. Methods: The clinical data of 34 patients with thyroid microcarcinoma proved surgically and pathologically in our hospital from January 1996 to December 2005 were analyzed and followed up. Results: All the cases were surgically treated and confirmed as pathological examination of thyroid microcarcinoma. Thirty-two cases were complicated with other benign thyroid diseases. Of them, 20 were complicated with nodular goiter, 5 were complicated with hyperthyroidism and 7 were complicated with. 2 cases of cervical lymph node metastasis. The follow-up time ranged from 6 months to 8 years. The follow-up rate was 94%. One of the patients recurred after operation. Conclusions: Thyroid microcarcinoma is easily missed in clinic. Most of patients with benign thyroid disease are found intraoperatively, postoperatively or lymph node metastasis, and the results show that total thyroidectomy or subtotal resection of microthrombi has a good effect. The prognosis of thyroid microcarcinoma it is good.