多功能保留颈清术治疗分化型甲状腺癌的临床效果观察  

The clinical effect of multifunction al reservation neck dissection on the treatment of differentiated thyroid cancer

作　　者：黄林[1] 邓伟[1] 劳景茂[1] 余居殿[1] 韦小波[1] 罗永香[1] 

机构地区：[1]钦州市第一人民医院普通外科一区,广西535000

出　　处：《中国临床新医学》2016年第12期1092-1094,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西卫计委科研课题(编号:Z2015283)

摘　　要：目的探讨多功能保留颈清术治疗分化型甲状腺癌患者的临床效果。方法选取2014-03~2014-11该院收治的分化型甲状腺癌患者60例,按随机数字法分为对照组和观察组各30例,对照组实施改良颈清术治疗,观察组实施多功能保留颈清术,比较两组患者的手术效果及并发症情况。结果两组患者均无手术死亡病例,颈部外观正常,恢复良好。术后随访,2年内无复发与死亡病例。观察组并发症发生率显著低于对照组（P〈0.05）。结论应用多功能保留颈清术治疗分化型甲状腺癌,能够有效保留耳廓区、颈部、锁骨上区的感觉,根治肿瘤,具有合理性、可行性,疗效可靠,值得临床推广使用。Objective To investigate the multifunctional reservation neck dissection in the treatment of differentiated thyroid cancer（ DTC）. Methods Sixty patients with DTC were randomly divided into the control group and the treatment group,with 30 cases in each group. The treatment group was treated with modified neck dissection.While the control group was treated with multifunctional reservation neck dissection. The surgical results and complications were compared between the two groups. Results No operative deaths occurred,with a normal appearance in the neck and a good recovery in both of the two groups. The patients were followed up for 2 years but no recurrence and deaths were found. The incidence of complications in the treatment group was significantly lower than that of the control group（ P〈0. 05）. Conclusion Multifunctional reservtion neck dissection is safe and effective in the treatment of differentiated thyroid cancer. It can effectively preserve the feeling of ear area,the neck and the supraclavicular region.

关 键 词：颈清术 多功能保留 分化型甲状腺癌 临床效果 

分 类 号：R736.1[医药卫生—肿瘤]