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目的分析选择性颈部淋巴结清扫对于甲状腺癌根治术患者的应用价值。方法本研究选取2010年4月至2012年4月期间徐州市肿瘤医院收治的120例甲状腺癌患者,根据术中清扫颈部淋巴结的方式不同分为A、B组,A组患者接受选择性颈部淋巴结清扫+甲状腺癌根治术,B组患者接受甲状腺癌根治术,术中不做淋巴结清扫。对照两组患者的临床疗效、淋巴结转移情况及术后并发症。结果 A组患者术后3年的Ⅱ~Ⅵ区各区淋巴结转移率均显著低于B组(P<0.05),Ⅱ~Ⅵ区总转移率也显著高于B组(P<0.05)。两组患者在喉返神经暂时性的损伤、一过性声音嘶哑、低钙性手足麻木等术后并发症发生率方面差异无显著性(P>0.05),总发生率也相似(P>0.05)。结论选择性淋巴结清扫可以有效降低术后淋巴结转移的发生风险,且并不增加并发症的发生率,值得推荐。
Objective To analyze the value of selective neck lymph node dissection for patients with radical thyroidectomy. Methods A total of 120 thyroid cancer patients who were treated in Xuzhou Tumor Hospital from April 2010 to April 2012 were selected and divided into groups A and B according to the manner of dissection of cervical lymph nodes during operation. Patients in group A received selective cervical Department of lymph node dissection and radical thyroidectomy, B group received radical thyroidectomy, surgery without lymph node dissection. Control two groups of patients with clinical efficacy, lymph node metastasis and postoperative complications. Results The lymph node metastasis rate in group Ⅱ was significantly lower than that in group B (P <0.05). The total metastasis rate in group Ⅱ ~ Ⅵ was also significantly higher than that in group B (P <0.05). There was no significant difference in the incidence of postoperative complications such as temporary recurrent laryngeal nerve injury, hoarseness, hypocaloric hand numbness and so on in both groups (P> 0.05), and the overall incidence was also similar (P> 0.05 ). Conclusion Selective lymphadenectomy can effectively reduce the risk of postoperative lymph node metastasis, and does not increase the incidence of complications, it is recommended.