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中央区淋巴结清扫术治疗cN0甲状腺乳头状癌的价值
引用本文:潘利,朱理玮. 中央区淋巴结清扫术治疗cN0甲状腺乳头状癌的价值[J]. 中国厂矿医学, 2010, 23(3)
作者姓名:潘利  朱理玮
作者单位:1. 海洋石油总医院普外科,天津市,300052
2. 天津医科大学总医院普外科
摘    要:
目的探讨中央区淋巴结清扫术在临床颈淋巴结阴性(cN0)甲状腺乳头状癌治疗中的价值。方法对67例cN0甲状腺乳头状癌行原发灶根治性切除,同时行患侧中央区淋巴结清扫术,清扫标本常规送病理检查。结果cN0甲状腺乳头状癌患者中央区淋巴结转移率50.7%(34/67)。中央区淋巴结转移与患者的肿瘤直径≤1.0cm或>1.0cm无关(χ2=0.42,P>0.05);与原发灶是否侵犯包膜(χ2=8.76,P<0.01)及年龄<45岁或≥45岁(χ2=4.30,P<0.05)有关。67例均无喉返神经损伤、永久性低钙抽搐等并发症发生。结论cN0甲状腺乳头状癌行中央区淋巴结清扫术是必要的、安全的处理方式。

关 键 词:甲状腺乳头状癌  颈部淋巴结  中央区淋巴结清扫术  

The value of central compartment neck lymph node dissection for cN0 papillary thyroid carcinoma
PAN Li,ZHU Li-wei. The value of central compartment neck lymph node dissection for cN0 papillary thyroid carcinoma[J]. Chinese Medicine of Factory and Mine, 2010, 23(3)
Authors:PAN Li  ZHU Li-wei
Affiliation:PAN Li,ZHU Li-wei.Department of General Surgery,Ocean Petroleum General Hospital,Tianjin 300052,China
Abstract:
ObjectiveTo investigate the value of central compartment neck lymph node dissection for papillary thyroid carcinoma of non-metastasis of neck lymph node being discovered(cN0).MethodsThe clinical data of 67 patients with cN0 papillary thyroid carcinoma from January 2006 to April 2008 were studied.The central compartment neck lymph node dissection was routinely performed during radical thyroidectomy of cN0 papillary thyroid carcinoma,and the specimens were routinely sent for pathological examination.ResultsTh...
Keywords:Papillary thyroid carcinoma  Neck lymph node  Central compartment lymph node dissection  
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