颈Ⅵ区淋巴结清扫治疗cN0期甲状腺微小乳头状癌的临床价值  

Clinical Value of Level Ⅵ Lymph Nodes Dissection for Clinically Node-Negative Papillary Thyroid Microcarcinoma

作　　者：李雷[1] 张年庆[1] 杜军[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院康复部外二科,233004

出　　处：《中华全科医学》2011年第12期1869-1870,共2页Chinese Journal of General Practice

摘　　要：目的探讨cN0期甲状腺微小乳头状癌常规行颈Ⅵ区淋巴结清扫的临床应用价值。方法对2008年1月～2011年5月收治的28例初诊的cN0期甲状腺微小乳头状癌行病灶根治性切除加同侧颈Ⅵ区淋巴结清扫的临床资料进行分析。结果颈Ⅵ区淋巴结阳性8例(占28.6%);并发症2例(占7.1%),其中喉返神经暂时性损伤1例,暂时性甲状旁腺损伤1例,经治疗后均恢复正常。结论 cN0期甲状腺微小乳头状癌颈Ⅵ区淋巴结转移率较高,常规行颈Ⅵ区淋巴结清扫是必要的且并发症发生率较低。Objective To study the clinical value of level Ⅵ lymph nodes dissection for clinically node-negative（cN0） papillary thyroid microcarcinoma.Methods The clinical data of 28 cases of newly diagnosed cN0 papillary thyroid microcarcinoma that treated by radical resection with level Ⅵ lymph nodes dissection from January 2008 to May 2011 in our hospital were analyzed retrospectively.Results Eight cases（28.6%） were with positive level Ⅵ lymph nodes;2 cases（7.1%） with complications including 1 case of temporary recurrent laryngeal nerve paresis and 1 case of parathyroid temporary injury,and both cases recovered after the treatment.Conclusion The cN0 papillary thyroid microcarcinoma has a highly level Ⅵ lymph node metastasis.The conventional level Ⅵ lymph nodes dissection is necessary for the patients with cN0 papillary thyroid microcarcinoma.It can also decrease the rate of complications.

关 键 词：cNO期 甲状腺微小乳头状癌 颈Ⅵ区 淋巴结清扫 

分 类 号：R736.1[医药卫生—肿瘤]