论文部分内容阅读
目的:探讨淋巴结清扫对甲状腺微小癌患者术后复发转移的影响。方法:收集我院68例甲状腺微小癌患者的病历资料。观察淋巴结清扫对患者术后复发和转移的影响作用。结果:术前及术中发现淋巴结肿大的患者有52例,其中25例患者行治疗性淋巴结清扫术,18例患者行预防性淋巴结清扫术,其余的9例患者未行预防性清扫术(有3例术后发生淋巴结转移);术前及术中未发现淋巴结肿大的患者有16例,其中9例行预防性淋巴结清扫术,7例未行预防性清扫术(2例患者术后发生淋巴结转移)。结论:TMC患者无论其术前及术中是否发现淋巴结肿大,均应行患侧腺体全切除术,同时行患侧淋巴结预防性清扫术。
Objective: To investigate the effect of lymph node dissection on the recurrence and metastasis of patients with thyroid microcarcinoma. Methods: The data of 68 cases of thyroid microcarcinoma in our hospital were collected. To observe the effect of lymph node dissection on postoperative recurrence and metastasis. Results: There were 52 patients with lymphadenectomy detected preoperatively and intraoperatively, 25 of whom underwent lymphadenectomy and 18 of whom underwent prophylactic lymphadenectomy. The remaining 9 patients underwent no preventive dissection There were 3 cases of postoperative lymph node metastasis); 16 cases were found without lymph node enlargement before and during surgery, 9 cases were treated with prophylactic lymphadenectomy and 7 cases without preventive dissection (2 cases after operation Lymph node metastasis occurs). Conclusion: All patients with TMC should be treated with total glandular resection of the affected gland regardless of their lymphadenectomy before and during operation, and preventive dissection of ipsilateral lymph nodes should be performed simultaneously.