甲状腺癌二次手术56例临床分析

目的:分析甲状腺癌二次手术的原因,探讨甲状腺癌合理的手术方式。方法:回顾分析56例二次手术甲状腺癌的资料,结合文献进行探讨。结果:术前误诊导致近期二次手术26例(46.4%),术后残癌率69.2%(18/26),术后复发或转移导致二次手术30例(53.6%),术后残癌率93.3%(28/30)。其中首次手术切除范围不足22例(39.3%),二次手术后5年存活率85.7%(30/35)。结论:术前误诊和首次手术切除范围不足是造成甲状腺癌二次手术的主要原因,,甲状腺癌应选择合理的个体化手术方式,二次手术应持积极的态度。

Clinical Analysis of Reoperation of 56 Cases with Thyroid Carcinoma

Objective:To analyse the cause of the reoperation of thyroid carcinoma and discuss the proper reoperation way.Methods:The operation data of 56 cases of thyroid carcinoma were retrospectively reviewed.Results:Twenty-six(46.4 percent) cases of recent reoperation was caused by misdiagnosis before the operation.The aucuracy rate of cancer risk after operation was 69.2 percent(18 in 26 cases),in which insufficient dissection in the first operation was 22 cases(39.3 percent),the five years survial rate of the reoperation was 85.7 percent(30 in 35 cases).Conclusion:Misdiagnosis before the operation and insufficient dissection in the operation were the main causes for the reoperation of thyroid carcinoma,so reasonable individual operation method should be chosen when finishing reoperation with positive attitude.