摘要
目的：探讨选择性颈淋巴结清扫术在甲状腺乳头状癌手术治疗中的临床意义。方法：回顾性分析79例甲状腺乳头状癌临床资料及随访结果。结果：选择性颈淋巴结清扫数目平均3．6枚／例，淋巴结转移25例（37．31％），发生术后并发症6例（7．59％），本组随访1。5年无甲状腺癌复发或转移。4例在随访期间出现颈侧区淋巴结转移，占5．06％。结论：原发灶根治＋选择性颈淋巴结清扫是治疗Ⅰ、Ⅱ期甲状腺乳头状癌的有效术式。探索选择性颈淋巴结清扫术术式个体化的适应证是今后的发展方向。
Objective： To investigate the selective neck dissection in papillary thyroid carcinoma in surgical treatment of clinical signi - ficance. Methods： A retrospective analysis of 79 cases of papillary thyroid carcinoma clinical data and follow - up results. Results： Selective neck dissection the average numbers of 3.6/cases, lymph node metastasis rate of 37.31% （25/67）, postoperative complications occurred in 6 cases（ 7.59 % ）, follow - up of this group so far no case of recurrence and metastasis of thyroid cancer due to the death,4 cases occurred during the follow - up lateral neck lymph node metastasis, accounting for 5.06% .Conclusion： The primary tumor cure and selective neck dissection is the treatment of early papillary thyroid carcinoma is an effective surgical. Explore selective neck dissection individualized surgical indication is the future direction of development.
出处
《中国民康医学》
2010年第10期1202-1202,1303,共2页
Medical Journal of Chinese People’s Health
关键词
分化型甲状腺癌
颈淋巴结清扫术
Differentiated thyroid carcinoma
Neck dissection
Surgical treatment
