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目的探讨双侧甲状腺癌的诊断方法、手术方式选择和并发症的预防。方法对 1988～ 2 0 0 0年 31例双侧甲状腺癌临床资料进行回顾性分析。结果 12例行甲状腺全切术 ,16例一侧全切除 +对侧近全切除 ,3例峡部切除 +双侧叶次全切除 ,5例行功能性颈淋巴结清扫 ,2例术后复发再手术 ,1例髓样癌死于癌转移。结论双侧甲状腺癌如果诊治得当 ,能获得与单侧甲状腺癌同样好的治疗效果。
Objective To investigate the diagnosis of bilateral thyroid carcinoma, the choice of surgical methods and the prevention of complications. Methods The clinical data of 31 patients with bilateral thyroid carcinoma from 1988 to 2000 were analyzed retrospectively. Results Total thyroidectomy was performed in 12 cases, total resection in 16 cases, contralateral subtotal resection in 3 cases, total isthmus excision in 3 cases, functional neck dissection in 5 cases and reoperation in 2 cases , 1 case of medullary carcinoma died of cancer metastasis. Conclusions If thyroid cancer is properly diagnosed and treated, the same good curative effect as unilateral thyroid cancer can be obtained.