纳米炭在腔镜甲状腺癌淋巴结清扫中的临床应用体会  

作　　者：王小刚[1] 高晓峰[1] 杨维桢[1] 

机构地区：[1]陕西省宝鸡市中心医院普外科,陕西宝鸡721000

出　　处：《世界中医药》2016年第B06期2071-2072,共2页World Chinese Medicine

摘　　要：目的总结纳米炭在腔镜甲状腺癌淋巴结清扫中的应用经验。方法：对27例甲状腺癌行腔镜下于癌周浆膜下及淋巴结内注入纳米炭，以被纳米炭染黑的淋巴结作为清扫标志，行甲状腺癌根治术。结果：27例患者经纳米炭黑染的淋巴结癌细胞检出率为96％。纳米炭可以准确的反映颈淋巴结癌灶转移情况，且不易外渗，同时对甲状旁腺的识别有重要帮助，避免其被损伤。结论：腔镜下甲状腺癌周围或淋巴结内注射纳米炭是易行、安全、有效的方法，对腔镜下甲状腺癌根治术中淋巴结清扫有确切的指导作用。Objective To summarize the experience of application of nano carbon in the lymph node dissection of laparoscopic thyroidectomy. Methods：In 27 cases of thyroid carcinoma, the nano carbon was injected into the tumor and lymph nodes under the laparoscope, and the lymph nodes were stained by nano carbon black.Results：The detection rate of lymph node cancer cells was 96% in 27 patients with nano carbon black. Nano carbon as thyroid carcinoma and cervical lymph node dissection of important tracgrs that can accurately reflect the cervical lymph node tumor metastasis and is not easy to extravasation, and the parathyroid gland recognition is important to help, you can avoid the damage.Conclusion：Laparoscopic thyroid cancer around or within the lymph node injected carbon nanoparticles is, feasible, safe and effective method, endoscopic thyroid cancer radical intraoperative lymph node dissection is the exact guide.

关 键 词：纳米炭 甲状腺癌 腔镜 淋巴结清扫 

分 类 号：R736.1[医药卫生—肿瘤]