侵犯气管或食管甲状腺癌的外科治疗  

Surgery for thyroid carcinoma with tracheal or esophageal involvement

作　　者：薛克成[1] 董淑晓[1] 梁洪[1] 

机构地区：[1]临沂市人民医院普外三科,山东临沂276003

出　　处：《肿瘤防治杂志》2004年第9期931-932,共2页China Journal of Cancer Prevention and Treatment

摘　　要：目的 :探讨侵犯气管或食管的甲状腺癌的手术方法及意义。方法 :回顾分析了本院 10年间收治的 2 6例甲状腺癌患者的临床资料 ,共 8种手术方法。结果 :3例患者术后 2年内发生转移死亡 ;5例术后颈部肿块复发 ,4例拒绝再次手术而仅行放疗 ,现 2例仍带瘤生存 ;其余病例未见复发和转移。结论 :对于没有广泛转移的甲状腺癌 ,尽管侵犯气管或食管 ,仍应行受累气管或食管的切除 ,以减少出血、梗阻、窒息等并发症 ,提高治愈率。OBJECTIVE:To discuss surgery methods and effects of patients with thyroid carcinoma with tracheal or esophageal involvement. METHODS: Twenty-six patients and 8 kinds of operation were reviewed and analysed. RESULTS: Three patients died of distant metastasis in 2 years.Carcinoma recurred in 5 patients after operation,four of them objected to an another operation, and two still alive.The other patients live without metastasis and recurrence. CONCLUSIONS: Operation on patients with thyroid carcinoma with tracheal or esophageal involvement can reduce the complications of bleeding,obstruction or asphyxia and raise the recovery rate.

关 键 词：甲状腺肿瘤/外科学 气管 食管 

分 类 号：R736.1[医药卫生—肿瘤]