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纳米碳示踪剂在30例甲状腺癌手术中的应用
引用本文:邵 渊1,赵瑞敏1,白艳霞1,张少强1,李宏慧1,权 芳1,曹培龙2. 纳米碳示踪剂在30例甲状腺癌手术中的应用[J]. 现代肿瘤医学, 2015, 0(20): 2915-2917. DOI: 10.3969/j.issn.1672-4992.2015.20.09
作者姓名:邵 渊1  赵瑞敏1  白艳霞1  张少强1  李宏慧1  权 芳1  曹培龙2
作者单位:1.西安交通大学第一附属医院耳鼻咽喉头颈外科;2.病理科,陕西 西安 710061
基金项目:国家自然科学基金(编号:81102056)
摘    要:目的:探讨纳米碳示踪剂在30例甲状腺癌手术中的应用效果。方法:将60例甲状腺癌患者随机均分为纳米炭组和对照组,行甲状腺全切及患侧Ⅵ区颈部淋巴结廓清术,纳米炭组在行淋巴结廓清术前应用纳米炭示踪剂,对照组不使用,比较2组患者的淋巴结清扫数目、术后血钙水平及甲状旁腺素(PTH)水平。结果:纳米炭组每例患者平均清扫淋巴结6.5枚,对照组3.2枚(P<0.05);纳米炭组术后发生一过性低钙血症患者1例,对照组12例(P<0.05);纳米炭组术后发生PTH暂时下降的患者2例,对照组9例(P<0.05)。结论:纳米炭淋巴示踪剂的应用可明显提高甲状腺癌患者Ⅵ区淋巴结的清扫数目,术中有助于甲状旁腺的识别并保护甲状旁腺的功能。

关 键 词:纳米碳示踪剂  甲状腺癌  淋巴结  甲状旁腺

The application of the nano -carbon tracer in 30 cases of thyroid gland carcinoma oper-ation
Shao Yuan1,Zhao Ruimin1,Bai Yanxia1,Zhang Shaoqiang1,Li Honghui1,Quan Fang1,Cao Peilong2. The application of the nano -carbon tracer in 30 cases of thyroid gland carcinoma oper-ation[J]. Journal of Modern Oncology, 2015, 0(20): 2915-2917. DOI: 10.3969/j.issn.1672-4992.2015.20.09
Authors:Shao Yuan1  Zhao Ruimin1  Bai Yanxia1  Zhang Shaoqiang1  Li Honghui1  Quan Fang1  Cao Peilong2
Affiliation:1.Department of ENT-Head Neck;2.Department of Pathology,the First Affiliated Hospital of Xi'an Jiaotong University Medical College,Shaanxi Xi'an 710061,China.
Abstract:Objective:To discuss the clinical effect of the nano-carbon tracer applied in 30 cases thyroid gland carcinoma operations.Methods:The 60 cases thyroid gland carcinoma patients were divided into nano-carbon group and control group.All the patients underwent the thyroid gland total resection and Ⅵ region lymph nodes dissection operations.The nano-carbon group applied the nano-carbon tracer during the neck dissectioin operation and without the application in control group.The lymph nodes dissection numbers,postoperative serum blood calcium levels,serum parathyroid hormone levels in 2 groups were compared.Results:The average number of lymph nodes in nano-carbon group was 6.5 and 3.2 in control group(P<0.05).There was 1 transient hypocalcemia in patients in nano-carbon group after the operation and 12 transient hypocalcemia in patients in control group(P<0.05).There were 2 cases temporary decline in patients with parathyroid hormone and 9 cases in control group(P<0.05).Conclusion:The application of the nano-carbon tracer improved the thyroid gland carcinoma patients Ⅵ lymph nodes dissection number obviously,the nano-carbon tracer application during the operation contribute to the identification and protection parathyroid gland function.
Keywords:nano-carbon tracer  thyroid gland carcinoma  lymph node  parathyroid gland
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