分化型甲状腺癌的治疗  

Treatment of differentiated thyroid carcinoma

作　　者：张丽丽[1] 于学智[1] 付荣湛[1] 顾禾[1] 孙靖忠[2] 

机构地区：[1]山东省千佛山医院普外中心,山东济南250014 [2]山东大学,山东济南250012

出　　处：《中国普通外科杂志》2004年第11期829-831,共3页China Journal of General Surgery

摘　　要：目的　为探讨分化型甲状腺癌的治疗方法。方法　对 173例分化型甲状腺癌患者的临床资料特别是治疗方法进行分析总结。结果　 173例患者均行手术切除 ,按照临床分期选择不同术式。术后辅以内分泌治疗。手术后出现神经损伤及其他手术并发症 3 0例 ,无手术死亡。随访期 5a以上者 91例 ,无死亡病例 ,但发生颈淋巴结转移 4例 ,胸骨转移 2例 ,肺转移 1例。结论　分化型甲状腺癌采用手术切除加内分泌治疗疗效颇佳。Objective To study the treatment of differentiated thyroid carcinoma. Method The clinical data and, in partricular, the treatment modalities of 173 cases of differentiated thyroid carcinoma were retrospectively analyzed.Results All of the 173 patients were treated by resection and subsequent endocrine therapy.Different types of operations were selected in accordance with the clinical stages.No perioperative deaths occurred.There were altogether 30 operative complications including nerve injury.Ninety-one patients were followed up for over 5 years and no deaths occurred.Jugular lymphatic metastases occurred in 4 patients, sternum metastases in 2 and lung metastasis in 1.Conclusion Surgical resection and endocrine therapy are highly effective for the treatment of differentiated thyroid carcinoma.

关 键 词：甲状腺肿瘤/外科学 癌 甲状腺 

分 类 号：R653[医药卫生—外科学] R736.1[医药卫生—临床医学]