论文部分内容阅读
目的比较甲状腺癌淋巴结清扫术中两步法手术组和传统手术组对甲状旁腺保护作用的优劣。方法甲状腺癌腺叶切除+淋巴结清扫患者114例,比较两步法手术组和传统手术组间甲状旁腺原位保留率、术后低血钙发生率、术后喉返神经麻痹发生率的差异。结果两步法手术组甲状旁腺原位保留率为74%,传统手术组为26%,两组比较差异有统计学意义(P<0.05);两步法手术组无术后喉返神经麻痹,传统手术组出现3例,但差异无统计学意义(P>0.05);两步法手术组无术后低血钙,传统手术组发生5例,两组间比较差异有统计学意义(P<0.05)。结论行甲状腺癌手术时先行囊内法切除甲状腺腺叶,再行淋巴结清扫有助于原位保留甲状旁腺并保护其功能。
Objective To compare the advantages and disadvantages of two-step operation and traditional operation on the parathyroid gland in lymph node dissection of thyroid cancer. Methods One hundred and fourteen patients with thyroid gland lobectomy and lymphadenectomy were included in this study. The in situ retention of parathyroid gland, the incidence of postoperative hypocalcemia and the incidence of recurrent laryngeal nerve palsy were compared between the two-step operation and the conventional operation. . Results The retention rate of parathyroid gland in the two-step operation group was 74%, compared with 26% in the conventional operation group, the difference was statistically significant (P <0.05). The two-step operation group had no recurrent laryngeal nerve palsy (P> 0.05). There was no postoperative hypocalcemia in the two-step operation group, 5 cases in the traditional operation group, the difference was statistically significant (P <0.05). Conclusions Thyroid gland lobectomy is performed by intracapsular approach before thyroid cancer surgery. Lymphadenectomy followed by lymph node dissection can help preserve the parathyroid glands in situ and protect their function.