甲状腺微小乳头状癌的临床治疗分析  

Clinical analysis of thyroid microcarcinoma

作　　者：周蕾[1] 

机构地区：[1]四川省眉山市人民医院,四川眉山620000

出　　处：《吉林医学》2017年第3期424-425,共2页Jilin Medical Journal

摘　　要：目的:观察甲状腺微小乳头状癌的临床手术治疗效果和并发症发生情况。方法:选取诊断治疗的甲状腺微小乳头状癌患者120例作为研究对象,分别采取不同的手术方式进行治疗,统计治疗后的中央淋巴结转移率和手术并发症发生率。结果:120例患者共59例发生中央区淋巴结转移,发生率为49.2%,共9例出现并发症,发生率为7.5%。甲状腺患侧峡部切除联合同侧中央区淋巴结清扫术患者中央区转移率为43.3%,并发症发生率为5.0%;甲状腺全切除联合患侧中央区淋巴结清扫术患者中央区转移率为46.7%,并发症发生率为6.7%;甲状腺全切联合双侧中央区淋巴结清扫术患者中央区转移率为45.0%,并发症发生率为15.0%;甲状腺全切联合患侧及颈侧淋巴结清扫术患者中央区转移率为100.0%,并发症发生率为10.0%。结论:个体化的手术方式治疗甲状腺微小乳头状癌的效果显著。Objective To observe the clinical effect and complications of papillary thyroid microcarcinoma. Method 120 cases of patients with papillary thyroid carcinoma who were diagnosed and treated were selected as the research object,they were treated with different surgical,the rate of central lymph node metastasis and surgical complications after treatment was counted. Results 120 cases of patients with a total of 59 cases of central lymph node metastasis,the incidence rate was 49. 2%,a total of 9 cases of complications,the incidence rate was 7. 5%. Ipsilateral thyroid isthmus resection combined with ipsilateral central lymph node dissection in patients with central metastasis rate was 43. 3%,the incidence of complications was 5. 0%;total thyroidectomy combined with ipsilateral central lymph node dissection in patients with central metastasis rate was 46. 7%,the complication rate was 6. 7%; total thyroidectomy combined with bilateral lymph node dissection. Postoperative metastasis rate was45. 0%,the complication rate was 15. 0%;total thyroidectomy combined with ipsilateral and lateral cervical lymph node dissection in patients with central metastasis rate was 100. 0%,the complication rate was 10. 0%. Conclusion Individualized surgical treatment for papillary thyroid microcarcinoma is effective.

关 键 词：甲状腺微小乳头状癌 临床效果 中央区淋巴结转移 并发症 

分 类 号：R736.1[医药卫生—肿瘤]