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对 1980 年 1 月至 1996 年 12 月我院外科手术治疗的 138 例甲状腺乳头状腺癌患者的资料进行了回顾性分析。笔者认为,为了降低肿瘤复发率和并发症的发生,甲状腺腺叶加峡部切除是较理想的术式; 对原发肿瘤直径大于1.5 cm 者,无论术前、术中是否摸到肿大淋巴结,以作改良颈淋巴结清扫为好; 对临床淋巴结阳性者,应根据具体情况实施功能或传统性颈淋巴结清扫术。
The data of 138 cases of thyroid papillary adenocarcinoma treated by surgery in our hospital from January 1980 to December 1996 were retrospectively analyzed. The author believes that in order to reduce the incidence of tumor recurrence and complications, thyroid gland plus leaf isthmectomy is an ideal surgical procedure; for primary tumors larger than 1.5 cm in diameter, no matter whether the tumor is enlarged before or during surgery Lymph nodes should be used to improve the dissection of cervical lymph nodes. For patients with positive clinical lymph nodes, functional or conventional cervical lymph node dissection should be performed according to specific conditions.