目的探讨甲状腺微小乳头状癌的临床诊治特点。方法回顾性分析我院自2006年2月~2013年6月期间收治并经过病理证实为PTMC的105例患者的病例资料。结果术前甲状腺彩超敏感率为85.7%,细针穿刺针吸细胞学活检阳性率66.9%,65例行患侧甲状腺+峡部甲状腺全切除,30例行患侧甲状腺全切除+对侧甲状腺次全切除,10例行甲状腺全切除,全部患者均行中央区淋巴结清扫术。所有患者随访1~8年,仅1例复发。结论甲状腺彩超在甲状腺微小癌的术前诊断中起重要作用,腺叶切除+中央区淋巴结清扫术可作为主要的手术方式,术后内分泌治疗不容忽视。 Objective To investigate the clinical diagnosis and treatment of thyroid papillary carcinoma. Methods A retrospective analysis of our hospital from February 2006 to June 2013 period and confirmed by pathology confirmed 105 cases of PTMC patients data. Results Preoperative thyroid color ultrasonography sensitivity was 85.7%, fine needle aspiration cytology biopsy positive rate of 66.9%, 65 cases of ipsilateral thyroid gland isthmus thyroidectomy, 30 cases of ipsilateral thyroidectomy + contralateral thyroid sub-total Excision, 10 cases of total thyroidectomy, all patients underwent central lymph node dissection. All patients were followed up for 1 to 8 years, only 1 case of recurrence. Conclusions Thyroid ultrasonography plays an important role in preoperative diagnosis of thyroid microcarcinoma, and lobectomy combined with lymphadenectomy in the central area can be the main surgical method. Endocrine therapy should not be neglected.