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本文对1960～1974年间收治的137例分化良好的甲状腺癌作一回顾性分析,以探讨外科治疗方法。通过对92％的病例5～20年随访结果的分析,认为当癌肿局限于一叶时,腺叶加峡部切除是合宜的;当伴对侧叶一个或少数几个癌或性质未定的结节时,可作患侧腺叶加对侧叶次全切除术;仅当双侧腺叶内癌肿广泛播散时才作全甲状腺切除术;颈淋巴结清除术适应于临床上扪及颈淋巴结肿大或已证实有颈淋巴结转移者。分化良好的甲状腺癌中也有少数生物学行为表现较恶性的,对这些病例提高疗效的关键在于早期诊断和早期治疗。
In this paper, a retrospective analysis of 137 well-differentiated thyroid cancers treated between 1960 and 1974 was conducted to investigate surgical treatment. Through the analysis of the results of the follow-up of 5 to 20 years in 92% of cases, it is considered that when the cancer is confined to one lobe, the gland plus the isthmectomy is appropriate; when there is one or a few cancers or undefined knots in the contralateral lobe At the time of the joint, the ipsilateral gland can be used for the subtotal resection of the contralateral leaf; the thyroidectomy can be performed only when the cancers in the bilateral glands are widely disseminated; the cervical lymph node dissection is suitable for the clinical palatal and cervical lymph nodes. Swollen or confirmed cervical lymph node metastasis. Well-differentiated thyroid cancer also has a few malignant biological behaviors. The key to improving the efficacy of these cases is early diagnosis and early treatment.