分化型甲状腺癌侧颈淋巴结的规范性清扫  

The standard lateral cervical lymph node dissection in differentiated thyroid carcinoma

作　　者：马大坤 代文杰[1] MA Da-kun;DAI Wen-jie(Department of Thyroid Surgery,The First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院甲状腺外科,黑龙江哈尔滨150001

出　　处：《西安交通大学学报（医学版）》2019年第3期442-444,479,共4页Journal of Xi’an Jiaotong University（Medical Sciences）

基　　金：卫生部行业基金资助项目(No.201302009)~~

摘　　要：甲状腺癌近年来发病率逐渐增高,其中分化型甲状腺癌(DTC)约占95%。DTC包括甲状腺乳头状癌(PTC)和滤泡状癌(FTC),前者约占90%。多数PTC相对惰性、进展缓慢、预后良好,但易出现颈部淋巴结转移,其中侧颈淋巴结转移率高达64.2%。规范、彻底的侧颈淋巴结清扫术是治疗DTC的重要手段,不规范的侧颈清扫是造成DTC术后复发转移的主要原因。The incidence of thyroid carcinoma is increasing every year and differentiated thyroid carcinoma (DTC) accounts for about 95% of all thyroid cancers.DTC consists of papillary thyroid carcinoma (PTC) accounting for more than 90% and follicular carcinoma (FTC).Most cases of PTC are relatively inert with slow progression and good prognosis,but cervical lymph node metastasis occurs early.Lateral lymph node metastasis occurs in 64.2% of patients.Currently,rational and radical lateral cervical lymph node dissection is the surgical protocol for DTC.Postoperative recurrence is mainly caused by the non- standard dissection.

关 键 词：分化型甲状腺癌 淋巴结转移 侧颈淋巴结清扫 

分 类 号：R653[医药卫生—外科学]