甲状腺乳头状癌的外科治疗  

Surgical treatment of thyroid papillary carcinoma

作　　者：刘建[1] 刘春庆[1] 祁晓莉[1] 

机构地区：[1]首都医科大学大兴医院外科,北京102600

出　　处：《临床外科杂志》2012年第3期165-166,共2页Journal of Clinical Surgery

摘　　要：目的探讨甲状腺乳头状癌的规范治疗方法。方法回顾性分析我院2007年1月至2010年12月期间手术的58例甲状腺乳头状癌患者资料。所有患者均经病理诊断，先接受手术治疗，手术包括甲状腺的切除及功能性颈清扫术，术后采取辅助治疗。结果58例患者中无死亡病例；甲状旁腺功能下降3例，2例为暂时性，1例为永久性；胸导管损伤1例，经非手术治疗痊愈；二次手术5例。随访期内局部复发2例，均再次手术治疗。结论甲状腺乳头状癌的发病率逐年升高，手术是主要治疗手段，术后需要辅以综合治疗，预后良好。Objective To investigate the standard treatment strategy of thyroid papillary carcinoma. Methods Fifty-eight cases of thyroid papillary carcinoma which were surgically treated in Daxing Hospital from January 2007 to September 2010 were retrospectively analyzed. After pathological diagnosis, all cases accepted operation including thyroidectomy and functional neck dissection and then adjunctive therapy. Results Among 58 cases, no case died ;3 developed hypoparathyroidism,in which 2 were temporary and 1 was permanent;1 case developed injury of the thoracic duct,which was recovered by non-operation treatment; 5 cases received second operation. During follow-up, 2 cases developed local recurrence and accepted second operation. Conclusion The morbility of thyroid papillary carcinoma increases yearly. Operation is the most important treatment, and with adjunctive therapy after operation the prognosis is satisfactory.

关 键 词：甲状腺乳头状癌 功能性颈清扫术 ^131I治疗 

分 类 号：R736.1[医药卫生—肿瘤]