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目的探讨分化型甲状腺癌的合理手术方式的选择及其并发症的预防方法。方法回顾性分析2003年6月至2006年9月收治430例分化型甲状腺癌的临床资料。430例均行双侧甲状腺全切除,加或不加颈淋巴结清扫术。结果全组无手术及住院期间死亡。喉神经损伤5例(1.16%),均为单侧;甲状旁腺损伤2例(0.47%),均为部分损伤;喉上神经损伤3例(0.69%),术后出血3例(0.69%),食管损伤1例(0.23%)。结论分化型甲状腺癌是双侧甲状腺全切除的适应证,安全可行。
Objective To investigate the selection of reasonable surgical methods for differentiated thyroid cancer and its preventive measures. Methods The clinical data of 430 patients with differentiated thyroid carcinoma admitted from June 2003 to September 2006 were retrospectively analyzed. 430 patients underwent bilateral total thyroidectomy, with or without cervical lymph node dissection. Results The whole group died without surgery and hospitalization. There were 5 cases (1.16%) of laryngeal nerve injury, all of them were unilateral; 2 cases (0.47%) of parathyroid injury were partial injuries, 3 cases (0.69%) of laryngeal nerve injury, 3 cases (0.69% ), Esophageal injury in 1 case (0.23%). Conclusions Differentiated thyroid carcinoma is an indication of bilateral total thyroidectomy and is safe and feasible.