论文部分内容阅读
报告对6例高分化甲状腺癌并双侧颈淋巴结转移进行同期双侧颈清扫手术的结果.认为同期双侧颈清扫手术只要遵循以下基本原则:(1)对甲状腺的切除行保留一侧背面被膜或薄层组织的次全切除术.(2)对原发灶一侧或是转移灶较重的一侧行传统式颈清扫术,对侧行至少保留颈内静脉的功能性颈清扫术,其手术效果无论从切除的彻底性,手术并发症及颈部外观等方面均不亚于单侧颈清扫术,更为病人节省了开支,一次解决了后顾之忧,取得更佳的社会效益,值得进一步推广及研究
Reported results of bilateral neck dissection of 6 cases of well-differentiated thyroid carcinoma with bilateral cervical lymph node metastases. It is considered that bilateral neck dissections during the same period should follow the following basic principles: (1) Subtotal resection of the thyroid resection should be performed with the preservation of one side of the posterior capsule or lamellar tissue. (2) Conventional neck dissection is performed on the side of the primary tumor or on the heavier side of the metastatic lesion, and the functional neck dissection is performed on the contralateral side that retains at least the internal jugular vein. The operative effect is independent of the thoroughness of the resection. The surgical complications and the appearance of the neck are no less than those of unilateral neck dissection, which saves the patient’s expenses, resolves the worries at once, and achieves better social benefits. It is worth further promotion and research.