甲状腺微小乳头状癌的手术治疗临床观察及预后分析  

Clinical Observation and Prognostic Analysis of Surgery for Papillary Thyroid Microcarcinoma

作　　者：邹华伟[1] 

机构地区：[1]周口市中心医院甲状腺乳腺外科,河南周口466000

出　　处：《中国继续医学教育》2016年第19期115-117,共3页China Continuing Medical Education

摘　　要：目的观察分析甲状腺微小乳头状癌的手术治疗及其预后。方法回顾性分析我院接受手术治疗的85例甲状腺微小乳头状癌的临床资料,观察手术后并发症、复发和生存率情况,将其按照随访生存情况分为死亡组和生存组,比较分析两组患者相关参数资料的差异性。结果 85例患者中术后并发症6例(占7.1%),复发13例(占15.3%),5年生存率92.9%(79/85)。在死亡组与生存组病例中,其年龄、远处转移、淋巴结转移方面差异存在统计学意义(P<0.05);两组患者在性别、病程、肿瘤大小、手术方式等方面差异均无统计学意义(P>0.05)。结论甲状腺微小乳头状癌患者手术治疗可获较好的预后,但年龄偏大、有远处或淋巴结转移者预后往往较差。Objective To observe and analyze the effects and prognosis of surgery for papillary thyroid microcarcinoma. Methods The clinical data of 85 patients with papillary thyroid microcarcinoma in our hospital were retrospective reviewed. The complication, recurrence rate and survival rate after surgery were observed. The patients were divided into death group and living group by survival situation, the differences of data between two groups were compared and analyzed. Results In 85 patients after surgery, 6 cases（7.1%） have complication, 13 cases（15.3%） relapsed, five-year survival rate was 92.9%（79/85）. The differences of ages, distant metastasis and lymphatic metastasis between two groups were statistical significant（P〈0.05）. The differences of gender, course of disease, tumor size, surgery methods, and so on were not statistical significance（P〈0.05）. Conclusion The treatment of surgery for papillary thyroid microcarcinoma could get good prognosis, but the prognosis could be worse for the patients who were older and have distant metastasis and lymphatic metastasis.

关 键 词：甲状腺微小乳头状癌 手术治疗 预后 

分 类 号：R736[医药卫生—肿瘤]