研究低位弧形切口在甲状腺乳头状癌颈部淋巴结转移患者术中的效果  

To Study the Effect of Low Arc Incision in Patients with Cervical Lymph Node Metastasis of Papillary Thyroid Carcinoma

作　　者：乔雷 董朝[1] 马斌林[1] QIAO Lei;DONG Chao;MA Bin-lin(Breast head and neck surgery, Cancer Hospital Affiliated to Xinjiang Medical University, Urumchi, Xinjiang, Chin)

机构地区：[1]新疆医科大学附属肿瘤医院乳腺头颈外科

出　　处：《世界最新医学信息文摘》2018年第13期20-21,共2页World Latest Medicine Information Electronic Version

摘　　要：目的研讨甲状腺乳头状癌(TPC)颈部淋巴结转移患者接受低位弧形切口手术处理的临床价值。方法抽选我院诊疗的230例TPC伴颈部淋巴结转移患者进行随机非盲实验并分组,两组均接受选择性淋巴结清扫手术处理,其中Ⅰ组于"L"型切口下完成操作,Ⅱ组选择低位弧形切口手术,观察两组患者临床疗效。结果两组在Ⅱa区、Ⅲ区及Ⅳ区淋巴结清扫上的数目较为接近,比较无统计学意义(P>0.05);但在Ⅱb区、Ⅴ区的淋巴结清扫上,Ⅱ组相对少于Ⅰ组,比较有统计学意义(P<0.05)。相比Ⅰ组,Ⅱ组患者在操作时间、切口长度上明显缩短,在疼痛、瘢痕色泽、血管分布及僵硬等各项量表评分上明显降低,比较有统计学意义(P<0.05)。结论对TPC伴颈部淋巴结转移患者行低位弧形切口手术处理,明显提升患者的术后生活质量,值得推荐。Objective To investigate the clinical value of low arc incision in patients with cervical lymph node metastasis of papillary thyroid carcinoma（TPC）. Methods Totally 230 patients with TPC and cervical lymph node metastasis who were diagnosed and treated in our hospital were randomly divided into two groups. Both groups were treated by selective lymph node dissection, in which group Ⅰ completed operation under ＂L＂ incision, group Ⅱ selected low arc incision surgery, the clinical efficacy of two groups were observed. Results The number of lymphadenectas in group Ⅱ a, Ⅲ and Ⅳ was close, showing no significant difference（P〉0.05）. However, in Ⅱ b and Ⅴ lymph nodes, the number of group Ⅱ was less than that of group Ⅰ, more statistically significant（P〈0.05）. Compared with group Ⅰ,patients in group Ⅱ were significantly shorter in operation time and incision length, and significantly decreased in scores of pain, scar color, blood vessel distribution and stiffness, with statistical significance（P〈0.05）. Conclusion it is worth recommending to improve the quality of life of the patients with TPC with cervical lymph node metastases and to improve the postoperative quality of life.

关 键 词：甲状腺乳头状癌 淋巴结转移 低位弧形切口 临床价值 

分 类 号：R736.1[医药卫生—肿瘤]