手术治疗分化型甲状腺癌76例临床分析

目的:分析分化型甲状腺癌的临床特点，探讨其手术治疗方式。方法:回顾性分析2012年1月至2014年6月期间我院普外二科收治的76例分化型甲状腺癌患者的临床资料。结果:所有患者均行手术治疗并行术中快速冰冻切片及术后石蜡病理检查。双侧甲状腺全切除术8例、患侧腺叶+峡部全切+对侧腺叶次全切除54例、患侧腺叶加峡部切除10例、患侧腺叶切除4例。20例行颈部中央区淋巴结清扫，8例行功能性颈部淋巴结清扫。围手术期无死亡病例。结论:外科手术是治疗分化型甲状腺癌的首选方法。手术方式应根据肿瘤临床分期进行个体化选择。

Surgical treatment for 76 patients with differentiated thyroid cancer

Objective:To analyze the clinical features of differentiated thyroid cancer(DTC)and the surgical treatment.Methods:We performed a retrospective analysis of the clinical data of 76 patients with DTC.Results:All the patients underwent surgery and the specimens underwent intraoperative frozen section and postoperative pathologi-cal examination.8 patients had bilateral total thyroidectomy.54 patients had ipsilateral lobe and isthmus total resec-tion,contralateral subtotal resection.10 patients had ipsilateral lobe and isthmus total resection.4 patients had ipsilat-eral lobe resection.20 patients had central region lymph node dissection.8 patients had functional neck lymph node dissection.There was no perioperative death.Conclusion:Surgery is the preferred method of treatment for differentia-ted thyroid cancer.Surgical approach should be individualized according to the clinical stage.