纳米碳在甲状腺癌术中的应用  

Application of nano-carbon in thyroid cancer surgery

作　　者：高小康 诸林海[1] 张凤霞 杜稼苓 周岐旺 陈洁静 GAO Xiao-kang;ZHU Lin-hai;ZHANG Feng-xia;DU Jia-ling;ZHOU Qi-wang;CHEN Jie-jing(Department of Thyroid and Breast Surgery, The Affiliated Hospital of Yangzhou Uni- versity, Yangzhou University（Jiangsu 225001, China)

机构地区：[1]扬州大学附属医院甲乳外科,江苏扬州225001

出　　处：《中国现代普通外科进展》2018年第2期95-97,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的 :探讨纳米碳对甲状腺癌术中淋巴结清扫的影响。方法 :将46例患者随机分为观察组及对照组,比较两组淋巴结总数、阳性淋巴结数及术后甲状旁腺功能的改变情况。结果:观察组清扫的淋巴结总数高于对照组,差异有统计学意义(P<0.05),两组检出的阳性淋巴结数无统计学意义(P>0.05)。同时观察组发生血钙及PTH降低的例数少于对照组,差异有统计学意义(P<0.05),两组出现临床症状的情况无统计学意义(P>0.05)。结论:甲状腺癌手术中应用纳米碳显著提高了淋巴结的检出率,保护了甲状旁腺并降低甲状旁腺损伤的风险。Objective： To explore the effect of nano-carbon in lymph node dissection for thy- roid cancer. Methods： 46 patients with thyriod cancer were randomly divided into treatment group and control group. The identification rate of lymph nodes, lymph node positivity and parathyroid func- tion were compared after surgery. Results： Compare to the control group,the identification rate of lymph nodes in treatment group was higher （P〈0.05）, but there was no significant difference on lymph node positivity （P〉0.05）. what＇s more,patients with low blood calcium and parathyroid hor- mone in treatment group were less than that in control group after surgery （P〈0.05）.The difference of severity of clinical symptoms was not statistically significant （P〉0.05）. Con c l us io n： Nano- car- bon increases the lymph node identification rate and reduces the risk of parathyriod injury in patients with thyroidectomy.

关 键 词：纳米碳 甲状腺癌 淋巴结 甲状旁腺 

分 类 号：R736.1[医药卫生—肿瘤]