甲状腺全切术治疗甲状腺乳头状癌43例临床观察

目的探讨甲状腺全切术治疗甲状腺乳头状癌的临床疗效。方法回顾性分析2006年1月-2012年6月43例于本院行甲状腺全切术的甲状腺乳头状癌患者的临床资料。结果发生单侧暂时性喉返神经损伤4例，双侧暂时性喉返神经损伤1例，单侧永久性喉返神经损伤1例，因肿瘤侵犯术中切断造成；未发生喉上神经损伤、甲状旁腺功能低下等其他严重并发症，术后随访6个月～2年，未见肿瘤复发和远处转移。结论甲状腺全切除术治疗甲状腺乳头状癌清除癌变组织彻底，复发和远处转移率低，值得临床推广应用。

Clinical observation of total thyroidectomy in treatment of 43 cases of patients with thyroid papillary carcinoma

Objective To investigate the effect of total thyroidectomy in treatment of thyroid papillary carcinoma. Methods The clinical data of 43 patients with thyroid papillary carcinoma, who underwent total thyroidectomy in our hospital from January 2006 to June 2012, were retrospectively analyzed. Results Unilateral transient recurrent laryngeal nerve injury occurred in 4 cases, bilateral transient recurrent laryngeal nerve injury encountered in I case. Unilateral permanent recurrent laryngeal nerve injury occurred in 1 case, it was due to tumor invasion and abscission in operation. No serious complications happened, such as superior laryngeal nerve injury and hypothyroidism. During the period of postoperative follow up for 6 months to 2 years, no case occurred recurrence and distant metastasis. Conclusion Total thyroidectomy can thoroughly remove cancerous tissue and has low rate of recurrence and distant metastasis in treatment of thyroid papillary carcinoma.