分化型甲状腺癌不同术式术后主要并发症的分析  

Analysis of postoperative complications of different surgical procedures for differentiated thyroid carcinoma

作　　者：任船[1] 李情怀[1] 

机构地区：[1]河北医科大学第二医院甲乳外科,河北石家庄050000

出　　处：《中国肿瘤外科杂志》2013年第4期221-222,229,共3页Chinese Journal of Surgical Oncology

摘　　要：目的对比分析分化型甲状腺癌不同手术方式术后主要并发症的情况。方法回顾性分析河北医科大学第二医院2004年1月至2012年1月经手术治疗的264例分化型甲状腺癌资料。结果患侧腺叶及峡部切除术77例,术后喉返神经损伤1例(占1.3%),低钙血症1例(占1.3%);患侧腺叶及峡部+对侧大部切除术137例,术后喉返神经损伤4例(占2.9%),低钙血症9例(占6.6%);甲状腺全切术50例,术后喉返神经损伤2例(占4.0%),低钙血症11例(占22.0%)。结论甲状腺全切术、患侧腺叶及峡部切除术与患侧腺叶及峡部+对侧大部切除术术后喉返神经损伤率无统计学差异;甲状腺全切术术后低钙血症发生率明显高于患侧腺叶及峡部切除术与患侧腺叶及峡部+对侧大部切除术。Objective To discuss the postoperative complications of different surgical procedures for differentiated thyroid carcinoma. Methods Complication’s data were reviewed retrospectively of 264 differentiated thyroid carcinoma medical records of the second hospital of Hebei Medical University from 2004 to 2012. Results There were 77 cases of lobectomy with isthmus dissection,recurrent laryngeal nerve injury in 1 case（ 1. 3% ） ,1 cases（ 1. 3% ） of hypocalcemia. There were 137 cases of lobectomy with contralateral subtotal resection,recurrent laryngeal nerve injury in 4 cases （ 2. 9% ） ,9 cases （ 6. 6% ） of hypocalcemia. There were 50 cases of total thyroidectomy,recurrent laryngeal nerve injury in 2 cases （ 4. 0% ） ,11 cases （ 22. 0% ） of hypocalcemia. Conclusions For differentiated thyroid cancer,recurrent laryngeal nerve injury in total thyroidectomy and lobectomy with isthmus dissection,lobectomy with contralateral subtotal resection haven’t statistical difference. Total thyroidectomy postoperative hypocalcemia is higher than lobectomy with isthmus dissection and lobectomy with contralateral subtotal resection.

关 键 词：分化型甲状腺癌 喉返神经损伤 低钙血症 术后并发症 

分 类 号：R736.1[医药卫生—肿瘤]