甲状腺全切加中央区及侧颈淋巴结清扫治疗转移型甲状腺癌的效果探讨  

Exploration of the eff ect of total thyroidectomy combined with central and lateral neck lymph node dissection for the treatment of metastatic thyroid cancer

作　　者：崔志伟 Cui Zhiwei(General Surgery Department of Hainan District People’s Hospital,Inner Mongolia Wuhai 016000,China)

机构地区：[1]乌海市海南区人民医院普外科,内蒙古乌海016000

出　　处：《临床普外科电子杂志》2025年第1期33-37,共5页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探讨甲状腺癌应用甲状腺全切加中央区及侧颈淋巴结清扫治疗的临床效果。方法选取乌海市海南区人民医院2022年1月至2024年1月收治的甲状腺癌患者50例,遵循随机抽样原则分为对照组和研究组,各25例。其中对照组行甲状腺全切加中央区淋巴结清扫治疗,而研究组行甲状腺全切加中央区及侧颈淋巴结清扫治疗,比较两组患者的治疗效果。结果研究组患者的围手术期指标、并发症发生率与对照组相比,无显著差异(P>0.05);研究组患者的术后生活质量以及复发率明显优于对照组,差异均有显著性(P<0.05)。结论甲状腺全切术联合淋巴结清扫是治疗转移型甲状腺癌的一种有效手段,能够显著改善患者的临床预后,降低复发风险。Objective To explore the clinical eff ect of total thyroidectomy combined with central and lateral neck lymph node dissection in the treatment of thyroid cancer.Method Fifty patients with thyroid cancer admitted to Hainan District People’s Hospital in Wuhai City from January 2022 to January 2024 were selected and random-ly divided into two groups,with 25 patients in each group.The control group underwent total thyroidectomy plus central lymph node dissection,while the study group underwent total thyroidectomy plus central and lateral neck lymph node dissection.The treatment eff ects of the two groups were compared.Result There was no signifi cant dif-ference in perioperative indicators and incidence of complications between the study group and the control group(P>0.05);The postoperative quality of life and recurrence rate of patients in the study group were signifi cantly better than those in the control group,with signifi cant diff erences(P<0.05).Conclusion Total thyroidectomy combined with lymph node dissection is an eff ective treatment for metastatic thyroid cancer,which can signifi cantly improve the clinical prognosis of patients and reduce the risk of recurrence.

关 键 词：甲状腺癌 全切术 淋巴结清扫 转移 

分 类 号：R73[医药卫生—肿瘤]