中央淋巴结清扫术治疗分化型甲状腺癌的效果  

Effect of Central Lymph Node Dissection on Differentiated Thyroid Cancer

作　　者：韩斌[1] HAN Bin(Department of Breast and Thyroid Surgery,Jilin Central Hospital,Jilin Jilin 132011,China)

机构地区：[1]吉林市中心医院乳甲外科

出　　处：《中国卫生标准管理》2019年第17期58-59,共2页China Health Standard Management

摘　　要：目的探究中央淋巴结清扫术治疗分化型甲状腺癌的临床效果。方法回顾性分析本院2017年2月-2018年2月收治的分化型甲状腺癌患者82例,均接受中央淋巴结清扫术治疗。患者出院后随访1年,观察治疗效果及并发症发生情况。结果82例分化型甲状腺癌患者经治疗,有颈部淋巴结转移60例,占73.17%,中央区淋巴结转移42例,占51.21%;42例中央区淋巴结转移中,年龄>45岁有30例,占71.43%(30/42),年龄<45岁12例,占28.57%(12/42),年龄>45岁患者多于年龄<45岁的患者(χ^2=13.762、P=0.000);非微小癌28例,占66.66%(28/42),微小癌14例,占33.33%(14/42),非微小癌患者多于微小癌患者,对比有统计学意义(χ^2=12.033、P=0.001)。82例患者经治疗,5例出现肢体麻木,3例患者出现声音沙哑,并发症发生率9.75%。结论中央淋巴结清扫术治疗分化型甲状腺癌的临床效果显著,具有较高临床推广价值。Objective To investigate the clinical effect of central lymph node dissection for the treatment of differentiated thyroid cancer. Methods From February 2017 to February 2018, a retrospective analysis of 82 cases of patients with differentiated thyroid cancer was carried out by central lymph node dissection. The patient was followed up for 1 year after discharge to observe the treatment effect and complications. Results 82 patients with differentiated thyroid cancer were treated with 60 cases of cervical lymph node metastasis, accounting for 73.17%, 42 cases of central lymph node metastasis, accounting for 51.21%;42 cases of central lymph node metastasis, age >45 years old 30 cases, accounting for 71.43%(30/42), 12 cases of age <45 years old, accounting for 28.57%(12/42), patients >45 years old were more than patients <45 years old(χ^2=13.762, P=0.000). There were 28 cases of non-small cancer, accounting for 66.66%(28/42), and 14 cases of microcarcinoma, accounting for 33.33%(14/42). The number of patients with non-small cancer was more than that of patients with microscopic cancer. The comparison was statistically significant (χ^2=12.033, P=0.001). Eighty-two patients were treated, 5 had limb numbness, and 3 patients had hoarseness and complication rate was 9.75%. Conclusion The clinical effect of central lymph node dissection for the treatment of differentiated thyroid cancer is significant and has a high clinical promotion.

关 键 词：中央淋巴结清扫术 分化型甲状腺癌 淋巴结转移 并发症 隐匿性淋巴结 非微小癌 

分 类 号：R736[医药卫生—肿瘤]