47例甲状腺癌的外科治疗  

Apprach to the operative mode surgical treatment of thyroid cancer──An analysis of 47 cases

作　　者：洪喜鹏[1] 

机构地区：[1]潮州市中心医院外三科

出　　处：《肿瘤防治研究》1996年第3期183-184,共2页Cancer Research on Prevention and Treatment

摘　　要：我科于１９８１年至１９９０年收治甲状腺癌５０例，术前诊断良性瘤２４例，颈部肿块６例，恶性２０例。其中针吸细胞学检查阳性１３例，手术治疗４７例，不能手术３例。本组行肿块单纯局切１２例，复发９例，复发率７５％。术后五年生存率５８．３３％，１０年生存率１６．６７％，带瘤生存１例。而行患侧腺叶加峡部全切或对侧次全切除，双侧腺叶次全切除以及联合根治术者均未见复发，术后五年生存率８７．８７％，１０年生存率２４．２４％。本文讨论了甲状腺癌的诊断及手术方式的选择。There were 50 patients with thyroid cancers treated in our department from 1981 to 1990, of which 24 cases were benign tumors. 6 cervical masses 20 malignanes diagnosed preoperatively Fine-needle aspiration cytologic examinations were perfomed in 13 cases, and surgical treatments done in 47 patients.In our growp,simple local resections were performed in 12 cases, of wich 9 cases had recurrance and 5、10-year survival rates were 58. 33%, and 16. 67% respectively. There was one case surviving with tumor. Howers, ipsilateral lobecteries plus isthmus resections or contralateral subtotal lobectomies, bilaterol subtalal labectomies and total thyroideetomies with modified radical node .disections were dons in 35 cases, who had no local recarrance, of which 5、10-year survival rates were 87. 87% and 24. 24%. The authors discussed diagnosis and choice of surgical procedures of thyroid cancer in this paper.

关 键 词：甲状腺肿瘤 外科手术 

分 类 号：R736.105[医药卫生—肿瘤]