论文部分内容阅读
目的探讨不同术式治疗甲状腺微小乳头状癌的临床效果。方法 186例甲状腺微小乳头状癌患者,随机分为对照组(112例)和观察组(74例)。对照组予以“L”型切口淋巴结清扫术治疗,观察组予以“低位领”式淋巴结清扫术治疗。随访12个月,比较两组患者复发情况及切口外观满意度、颈肩部疼痛情况。结果对照组复发率为3.57%(4/112),观察组复发率为2.70%(2/74),比较差异无统计学意义(P>0.05)。观察组切口外观满意度、颈肩部疼痛评分显著高于对照组,差异均有统计学意义(P<0.05)。结论 “L”型切口淋巴结清扫术、“低位领”式淋巴结清扫术治疗甲状腺微小乳头状癌的效果相当,但“低位领”式淋巴结清扫术可有效减轻患者颈肩部疼痛,满足患者对颈部的美观要求,适用于对颈部外观要求较高的患者。
Objective To investigate the clinical effects of different surgical treatment of thyroid papillary carcinoma. Methods 186 cases of thyroid papillary carcinoma were randomly divided into control group (112 cases) and observation group (74 cases). The control group was treated with “L” incision lymphadenectomy, and the observation group was treated with “lower collar” lymph node dissection. The patients were followed up for 12 months. The recurrence of the two groups and satisfaction of incision appearance and neck and shoulder pain were compared. Results The recurrence rate was 3.57% (4/112) in the control group and 2.70% (2/74) in the observation group. The difference was not statistically significant (P> 0.05). The degree of satisfaction of the incision in the observation group was significantly higher than that of the control group (P <0.05). Conclusion The effect of “L” incision lymphadenectomy and “low neck” lymph node dissection in treating thyroid papillary carcinoma is equivalent, but the “low collar” lymph node dissection can effectively reduce the patient’s neck and shoulder Pain, to meet the aesthetic requirements of patients on the neck, apply to patients with demanding neck appearance.