局限性甲状腺叶切除在单发甲状腺乳头状癌中的应用研究  

Application study of localized thyroidectomy in single papillary thyroid carcinoma

作　　者：成德文 Cheng Dewen(New District Branch of the First People's Hospital of Zhenjiang City,Jiangsu Zhenjiang 212132)

机构地区：[1]镇江市第一人民医院新区分院,江苏镇江212132

出　　处：《中国社区医师》2020年第33期21-22,共2页Chinese Community Doctors

摘　　要：目的:评价局限性甲状腺叶切除术在单发甲状腺乳头状癌中的可行性。方法:2017年5月-2018年5月收治单发甲状腺乳头状癌(TNM分期Ⅰ~Ⅱa)患者80例,分为两组。对照组采用甲状腺全切或次全切除术+中央区淋巴结清扫;观察组接受肿瘤病灶侧局限性甲状腺叶切除术,结合精细化背侧被膜解剖+纳米碳甲状腺淋巴示踪技术,行区域性淋巴结清扫。比较两组手术指标及并发症发生情况。结果:观察组手术时间短于对照组,出血量少于对照组,总并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:局限性甲状腺叶切除术在早期单发甲状腺乳头状癌中有较好的安全性,创伤更小,并发症更少。Objective:To evaluate the feasibility of localized thyroidectomy in single papillary thyroid carcinoma.Methods:From May 2017 to May 2018,80 patients with single papillary thyroid carcinoma(TNM stageⅠ~Ⅱa)were selected,they were divided into the two groups.The control group was treated with total thyroidectomy or subtotal thyroidectomy combined with central lymph node dissection.The observation group was treated with localized thyroidectomy on the side of the tumor focus,combined with fine dorsal capsule anatomy and nano-carbon thyroid lymph node tracing technique,using regional lymph node dissection.The operative indexes and complications were compared between the two groups.Results:The operation time of the observation group was shorter than that of the control group,the amount of bleeding was less than that of the control group,and the total incidence of complications in the observation group was significantly lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Localized thyroidectomy has better safety,less trauma and fewer complications in the treatment of early single papillary thyroid carcinoma。

关 键 词：甲状腺叶切除术 甲状腺乳头状癌 精细化背侧被膜解剖 纳米碳甲状腺淋巴示踪技术 

分 类 号：R736.1[医药卫生—肿瘤]