75例甲状腺癌的诊治体会  

To investigate the diagnosis and treatment of case of thyroid

作　　者：高发会[1] 谭志霞[1] 

机构地区：[1]山东省临沂市沂水中心医院普外科,山东临沂276400

出　　处：《河北医学》2002年第11期982-984,共3页Hebei Medicine

摘　　要：目的 :探讨甲状腺癌的诊断与手术方式。方法 :回顾分析 1991年 1月至 2 0 0 1年 12月治疗的 75例甲状腺癌病历。结果 :彩色超声诊断准确率为 80 % ,细针穿刺细胞学诊断准确率为 90 % ,术中冰冻诊断准确率为 91%。患侧腺叶、峡部切除 ,对侧大部切除 2 0例 ,功能性颈淋巴结清扫术 30例 ,传统式清扫术 18例 ,全甲状腺切除 4例 ,姑息性切除 3例。随访率 10 0 % ,死亡 5例。结论 :术前仔细的触诊及问诊 ,彩色超声诊断检查结合细针穿刺抽吸细胞学检查 ,术中常规冰冻检查 ,是减少误诊提高诊断正确率 ,减少二次手术的有效方法。只有适应症选择正确 ,治疗分化性甲状腺癌 ,功能性淋巴清扫术不逊于传统术式。Objective: To explore the diagnosis and operative mode of thyroid carcinoma. Methods: To analysis 75 cases of thyroid carcinoma from January 1991 to November 2001. Results: Diagnostic positive rates by altrasonograph,fine needle aspiration cytology and freezing section were respetively 80%,90% and 91%,near total thyroidectomy was performed on 20 cases,functional lymph node dissection was performed on 38 cases,traditional lymph node dissection was performed on 9 cases,total thyroidectomy was performed on 4 cases,passive exenteration was performed on 3 cases,follow-up rate was 100%,the dead was 5 cases. Conclusion: Careful palpation,ultrasonograph and routine freezing section were helpful to heighten the diagnosis rate and avoid second operation.function Lymph node dissection was not inferior to traditionally operative node in curing differentiated thyroid carcinoma.

关 键 词：甲状腺癌 诊断 手术方式 

分 类 号：R736.1[医药卫生—肿瘤]