分化型甲状腺癌根治性切除术中的关键考量与策略  

Key considerations and strategies for radical resection of differentiated thyroid carcinoma

作　　者：孙辉[1] 李长霖[1] Sun Hui;Li Changlin(Department of Thyroid Surgery,China-Japan Union Hospital of Jilin University,Jilin Provincial Key Laboratory of Translational Medicine of Surgery,Jilin Provincial Engineering Laboratory of Thyroid Disease Prevention and Treatment,Changchun Jilin Province 130033,China)

机构地区：[1]吉林大学中日联谊医院甲状腺外科,吉林省外科转化医学重点实验室,吉林省甲状腺疾病防治工程实验室,长春130033

出　　处：《中华普外科手术学杂志（电子版）》2024年第5期477-481,共5页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：国家自然科学基金(82203750);吉林省财政厅项日(2022SCZ38)。

摘　　要：本文综述分化型甲状腺癌(DTC)根治性切除术中的关键考量与策略,涵盖从原发灶与淋巴结切除范围的确定,到术中病理评估与决策的动态调整,再到分子标志物在手术决策中的辅助应用等多个方面。此外,进一步探讨甲状腺癌的腔镜治疗选择、手术并发症的预防策略、甲状腺功能保护及替代治疗的重要性,以及术后随访与复发监测的必要性和多学科协作的综合治疗模式。通过深入分析这些关键问题,本文旨在为临床医生提供全面而精准的治疗指导,进而提升DTC患者的治疗效果和生活质量。This article provides a comprehensive review of the key considerations and strategies involved in radical resection surgery for differentiated thyroid cancer(DTC).The scope of resection for primary lesions and lymph nodes,intraoperative pathological assessment and decision-making adjustments,and the value of molecular markers in intraoperative decision-making are all discussed.Furthermore,the review explores the options for endoscopic treatment of thyroid cancer,preventive strategies for common surgical complications,the importance of thyroid function preservation and replacement therapy,as well as the necessity of postoperative follow-up and recurrence monitoring.The role of multidisciplinary collaboration in comprehensive treatment is also emphasized.By delving into these crucial aspects,this article aims to provide clinicians with comprehensive and precise guidance for treating DTC,ultimately aiming to improve patient outcomes and quality of life.

关 键 词：甲状腺肿瘤 外科治疗 

分 类 号：R736.1[医药卫生—肿瘤]