内镜与开放手术治疗cN0期甲状腺乳头状癌对比分析  

Endoscopic and open operation for cN0 stage papillary thyroid carcinoma:An analysis of 164 cases

作　　者：刘洋[1] 王平[2] 王勇[2] 李百周[3] 徐少明[2] 

机构地区：[1]郑州大学第一附属医院甲状腺外科,河南郑州450052 [2]浙江大学医学院附属第二医院外三科,浙江杭州310009 [3]浙江大学医学院附属第二医院病理科,浙江杭州310009

出　　处：《中国实用外科杂志》2013年第5期397-399,共3页Chinese Journal of Practical Surgery

基　　金：浙江省自然科学基金(Y2110367)

摘　　要：目的探讨内镜下cN0期甲状腺乳头状癌手术的可行性及有效性。方法回顾性分析浙江大学医学院附属第二医院2010年4月至2011年7月间收治的20～50岁间女性cN0期甲状腺乳头状癌164例病人资料。分为两组,其中行开放手术组105例,内镜手术组59例。对两组病人的并发症和清扫淋巴结个数等资料进行统计学分析。结果两组病人术后出现声音嘶哑、饮水呛咳和低钙血症等并发症的发生率相比差异无统计学意义(P>0.05);内镜手术组清扫淋巴结273枚,平均4.6枚,开放手术组清扫淋巴结605枚,平均5.8枚,两组差异无统计学意义(P>0.05)。术后随访12～28个月,平均随访19个月,无复发病例。结论内镜下cN0期甲状腺乳头状癌的手术治疗是安全可行的,可兼顾疗效和美容。Objective To explore the feasibility and efficacy of endoscopic operation for cN0 stage papillary thyroid carcinoma. Methods The data of 164 cases of cN0 stage papillary thyroid carcinoma aged 20 to 50 years old performed operation between April 2010 and July 2011 in the Second Affiliated Hospital of Zhejiang University were analyzed retrospectively. All the patients were divided into two group including 105 cases in traditional operation group and 59 cases in endoscopic operation group. The complications and the lymph node numbers of two groups were analyzed statistically. Results There was no significant difference in complications about voice hoarseness, hydroposia bucking and hypocalcemia between the two groups （P〉0.05）. There were 273 lymph nodes resected in endoscopic operation group （average 4.6 lymph nodes per case）. There were 605 lymph nodes in traditional operation group （average 5.8 lymph nodes per case）. There was no significant difference between the two groups （P〉0.05）. All the cases were followed up for 12 to 28 months with the mean of 19 month, during which no case had recurrent tumor. Conclusion Endoscopic operation for cN0 stage papillary thyroid carcinoma is safe and feasible, which has the good curative and cosmetic effects

关 键 词：甲状腺肿瘤 内镜 甲状腺切除术 淋巴结清扫术 

分 类 号：R6[医药卫生—外科学]