甲状腺癌再手术临床分析

目的：探讨甲状腺癌再手术的原因，选择合理的手术方式。方法：对48例甲状腺癌再手术的资料进行回顾性分析。结果：本组48例接受再次手术52次，二次手术发现总的残癌率58．3％(28／48)，其中原发部位残癌率48．0％(23／4．8)，5年生存率71．0％(34／48)，8年生存率31．3％(15／48)。结论：甲状腺癌的误诊是造成甲状腺癌再次手术治疗的主要原因，提高术者对甲状腺癌的认识水平，强调术中快速冰冻病检在甲状腺手术中的常规应用，选用恰当的手术方式，是避免甲状腺癌再次手术的关键。

The Clinical Analysis Reoperation of Thyroid Cancer

Objective:To explore the cause of reoperation for thyroid carcinoma and proper operation style.Method: The clinical data of 48 reoperated cases with thyroid cancer were analyzed retrospectively.Result: 48 cases with thyroid carcinoma had been reoperated for 52 times.The total rate of residual diseases was 58.3%(28/48).The rate of the residual diseases at primary site was 48.0%(23/48). 5 years survival rate was 71.0%(34/48) and 8 years survival rate was 31.3%(15/48).Conclusion: Misdiagnosis of thyroid cancer is the main cause of reoperation for these patients.The key of avoiding reoperation is to improve cognitive level of operator for thyroid cancer, to emphasize the routine application of quick pathologic diagnosis during operation of thyroid and select the best suitable surgical method.