论文部分内容阅读
目的探讨分化型甲状腺癌的外科治疗的方式以及并发症的影响,促进预后。方法回顾性分析我院2005年1月-2010年1月间收治的65例分化型甲状腺癌患者的临床资料,并分析并发症的发生率和原因。其中乳头状癌43例(64.61%),滤泡状腺癌18例(27.69%),淋巴结转移者4例(6.15%);手术方式包括甲状腺次全切除术38例,甲状腺全切术27例,手术后没有患者死亡。比较全甲状腺切除术一次手术与多次手术并发症发生率;比较在甲状腺次全切除术术中是否显露喉返神经术后声音嘶哑发生率。结果全甲状腺切除术初次手术与多次手术患者的甲状旁腺损伤及声音嘶哑发生率进行比较,两者差异显著,有统计学意义(P<0.05),行次全切除术时术中暴露喉返神经术后声音嘶哑的发生率与未暴露喉返神经术术后声音嘶哑的发生率比较,差异显著,有统计学意义(P<0.05)。结论分化型甲状腺癌的主要方法是手术切除,应按照个体化原则,制适合患者的个体化手术方式,减少并发症,可提高生存率。
Objective To explore the surgical treatment of differentiated thyroid cancer and the impact of complications, and promote prognosis. Methods The clinical data of 65 patients with differentiated thyroid cancer admitted to our hospital from January 2005 to January 2010 were analyzed retrospectively. The incidence and causes of complications were analyzed. There were 43 cases of papillary carcinoma (64.61%), 18 cases of follicular adenocarcinoma (27.69%) and 4 cases of lymph node metastasis (6.15%). Surgical procedures included subtotal thyroidectomy in 38 cases, total thyroidectomy in 27 cases No patient died after surgery. The incidences of one operation and multiple operation complication after total thyroidectomy were compared. The incidence of hoarseness after recurrent laryngeal nerve was revealed in subtotal thyroidectomy. Results The incidence of parathyroid gland injury and hoarseness in patients undergoing primary thyroidectomy and multiple surgeries were significantly different between the two groups (P <0.05). There was no significant difference between the two groups There was significant difference between the incidence of hoarseness after recanalization and the incidence of hoarseness after recurrent laryngectomy (P <0.05). Conclusion The main method of differentiated thyroid cancer is surgical resection. According to the principle of individuation, it should be made according to the individualized operation mode of patients, which can reduce the complication and improve the survival rate.