论文部分内容阅读
目的 :通过对一组分化型甲状腺微小癌的回顾性分析 ,为其临床诊断和治疗提供客观依据。方法 :对 45例甲状腺微小癌患者行同侧甲状腺全切除术加对侧甲状腺大部切除术加同侧功能性颈淋巴结清扫术。结果 :经病理证实的淋巴结转移有 11例 ,占 2 4.4%。无一例出现手术并发症 ,45例均治愈。全部病例均随访至今 ,无一例死亡或复发。结论 :甲状腺微小癌的淋巴结转移率较高 ,采取同侧甲状腺全切除术加对侧甲状腺大部切除术加同侧功能性颈淋巴结清扫术 ,是有效和必要的治疗方法。
Objective: To retrospectively analyze a group of differentiated thyroid microcarcinomas to provide objective evidence for its clinical diagnosis and treatment. Methods: Forty-five patients with thyroid microcarcinoma underwent ipsilateral thyroidectomy combined with subtotal thyroidectomy plus ipsilateral functional cervical lymph node dissection. Results: Pathologically confirmed lymph node metastasis in 11 cases, accounting for 24.4%. No case of surgical complications, 45 cases were cured. All cases were followed up to date, no case of death or relapse. Conclusion: The rate of lymph node metastasis of thyroid microcarcinoma is high. It is an effective and necessary treatment to take the ipsilateral thyroidectomy combined with subtotal thyroidectomy plus ipsilateral functional cervical lymph node dissection.