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分区性颈淋巴结清扫术在治疗甲状腺癌颈淋巴结转移中的应用
引用本文:赵雪松,陈玉英,杨继新.分区性颈淋巴结清扫术在治疗甲状腺癌颈淋巴结转移中的应用[J].中国地方病学杂志,2004,23(3):253-254.
作者姓名:赵雪松  陈玉英  杨继新
作者单位:1. 150040,哈尔滨医科大学第三临床医学院
2. 黑龙江省肿瘤医院教务科
3. 齐齐哈尔市五官医院
摘    要:目的 探讨分区性颈清术在治疗甲状腺癌颈淋巴结转移中的价值。方法 选择35例甲状腺癌颈淋巴结转移患者实施分区性颈淋巴结清扫术,同时选择实施传统清扫术的相同诊断的患者38例做对照组,对实施两种不同手术后的患者的生存率、复发情况、生存质量进行3年随访观察。结果 两组患者术后3年生存率无明显差别,而分区性清扫术后患者的生存质量明显优于行传统颈清扫术的患者。结论 应用分区性颈淋巴结清扫术可以在很大程度上取代传统的颈淋巴结清扫术,达到与传统手术相同的临床效果,同时又能最大限度地减少手术创伤,提高生存质量。

关 键 词:分区性颈淋巴结清扫术  外科治疗  甲状腺癌  颈淋巴结转移
修稿时间:2003年10月22

Application of selective neck dissection in cervical lymph node metastasis in thyroid carcinoma treatment
ZHAO Xue-song,CHEN Yu-ying,YANG Ji-xin.Application of selective neck dissection in cervical lymph node metastasis in thyroid carcinoma treatment[J].Chinese Jouranl of Endemiology,2004,23(3):253-254.
Authors:ZHAO Xue-song  CHEN Yu-ying  YANG Ji-xin
Affiliation:ZHAO Xue-song*,CHEN Yu-ying,YANG Ji-xin. *Department of Head and Neck Surgery,The Third Hospital of Harbin Medical University,Harbin 150040,China
Abstract:Objective To analyze the value of the selective neck dissection in treating the patients who had suffered from cervical lymph node metastasis in thyroid carcinoma. Methods Thirty-five patients of cervical lymph node metastasis in thyroid carcinoma (28 cases in N1 stage, 6 in N2 stage, 1 in N3 stage) were treated by selective neck dissection (SND). At the same time, thirty-five patients of same diagnosis (29 cases in N1 stage, 7 in N2 stage, 2 in N3 stage) disease were treated by radical neck dissection {RND}, it was the control group. All the patients were verified by pathology before the operation (all are papillary carcinoma and follicle carcinoma). The curative effect, recurrent rate, living quality of both group had been observing to the end of July 2003. Results The three years survival rates of SND group were 97.1% and the three years survival rates of RND group were 94.7%. The living conditions of the patients who had been treated by SND are superior than those done by RND. All the patients cured by RND had the side effects such as long time facial edema, cervical dysmorphia, difficulty in raising the upper arm. While the patients of RND group were quite different. The same complains were seldom accured. Conclusion The SND is superior than RND in reducing operation wound and improving quality at the same time, and the curative effect of both operative treatment is similar.
Keywords:Carcinoma of thyroid  Cervical lymph node dissection
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