甲状腺癌根治术关键技术标准及评价  

Key technical standard and evaluation of radical thyroidectomy

作　　者：田文 王冰 TIAN Wen;WANG Bing(Department of Thyroid&Hernia Surgery,Medical Department of General Surgery,the First Medical Center of Chinese PLA General Hopital.Beiing 100853,China)

机构地区：[1]中国人民解放军总医院第一医学中心普通外科医学部甲状腺(疝)外科,北京100853

出　　处：《中国实用外科杂志》2024年第1期38-42,共5页Chinese Journal of Practical Surgery

基　　金：北京市科技计划课题(No.Z141107002514102)。

摘　　要：手术是治疗甲状腺癌的首选方式。甲状腺手术以技术精准、操作精细为特点。术前精准诊断并严格把握手术指征,规范原发灶切除及淋巴结清扫范围并合理选择手术入路,重视神经、甲状旁腺、血管、气管及食管的保护,做到肿瘤根治与功能保护并重。实施甲状腺癌根治术需避免及积极处理术后并发症。应重视甲状腺癌的初次手术治疗,建立培训制度,加强诊疗规范化,完善手术质量控制体系。相信随着规范化诊治理念不断深入、手术技巧不断进步、新技术新方法不断发展,中国甲状腺癌的诊治会更加规范精准,病人生存率及生存质量会得到进一步提升。Surgery is the preferred treatment for thyroid cancer.Thyroidectomy is characterized by its precise technique and subtle manipulation.Thyroid surgeons should strict grasp of surgical indications On the basis of reoperative accurate diagnosis.Standardize the scope of primary resection and lymph node dissection and rationally select surgical approaches are also needed.Attention should be paid to the protection of nerves,parathyroid glands,blood vessels,trachea and esophagus during operation.Operation should pay equal attention to radical tumor treatment and functional protection.The occurrence of postoperative complications should be avoided and dealt with actively in the implementation of radical thyroidectomy.Thyroid surgeons should pay attention to the primary surgical treatment of thyroid cancer.Trying to establish training system and improve the surgical quality control system is necessary.With the continuous deepening of standardized diagnosis and treatment concepts,it is believed that surgical techniques will continue to improve and new techniques and methods will continue to develop.The diagnosis and treatment of thyroid cancer in China will be more standardized and accurate and the patients'survival rate and quality of life will be further improved.

关 键 词：甲状腺癌 外科治疗 技术标准 评价 

分 类 号：R6[医药卫生—外科学]