甲状腺癌的诊断及手术治疗方式探讨（附76例分析）

目的：探讨甲状腺癌的诊断及手术方式，方法：分析我院近20年收治的76例甲状腺癌患，结果：76例均行手术治疗，根治性手术34例，患例颈部淋巴结转移率为73．5％（25／34），其中乳头状癌淋巴结转移率为72．7％，5年生存率96．4％，10年生存率90．6％，结论：甲状腺癌以乳头状癌最多见，除未分化癌外手术切除治疗是甲状腺癌的主要治疗方式，合理选择术式是取得长期生存的关键因素。

Value of Diagnosis and Surgical Treatment of Thyroid cancer: An Analysis of 76 Cases

Objective To investigate the diagnosis and surgical treatment of thyroid cancer. Methods 76 cases of thyroid cancer were analyzed in our hospital from 1982 to 2002 Results All of htose cases were performed operaion , 34 cases were performed radical neck dissection. All of the lymph node metastatic rate was 73.5% and papillary carcinomas s lymph node metastatic rate was 72.7% . The 5-, 10-years sruvival rates were 96.4% (54/56),90. 6% (29/32). Conclusion Of all the thyroid cancer, the papillary carcinoma were main histopathologic types. Except the anaplastic carcinomas , srugical resection is the fist choice in the treatment, the effect surgical treatment is the hey factor of long survive.