| 甲状腺癌再手术临床分析 |
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| 引用本文： | 徐荣,李树业,梁秦龙. 甲状腺癌再手术临床分析[J]. 现代肿瘤医学, 2003, 11(1): 29-30 |
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| 作者姓名： | 徐荣 李树业 梁秦龙 |
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| 作者单位： | 陕西省肿瘤医院头颈科,西安,710061 |
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| 摘 要： | 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 95例分化型甲状腺癌再手术的资料进行回顾性分析结合文献进行讨论。结果 95例分化型甲状腺癌二次手术发现总的残癌率( 5 3/ 95 ) 5 5 .7% ,其中原发部位残癌率 ( 43/ 95 ) 4 2 .76 %。外院行甲状腺肿物局部切除和次全切除术喉返神经损伤发生率 ( 8/ 95 ) 8.4%。结论 甲状腺肿瘤手术应行甲状腺腺叶切除 ,术中强调喉返神经的解剖 ,疑有颈淋巴结转移 ,应行规范化的颈淋巴结清扫术。
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| 关 键 词： | 甲状腺肿瘤 癌 外科 再手术 |
| 文章编号： | 1008-7001(2003)01-0029-03 |
| 修稿时间： | 2002-12-04 |
The clinical analysis of reoperation of thyroid cancer |
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| Xu Rong,LI Shu-ye,LIANG Qin-long. The clinical analysis of reoperation of thyroid cancer[J]. Journal of Modern Oncology, 2003, 11(1): 29-30 |
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| Authors: | Xu Rong LI Shu-ye LIANG Qin-long |
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| Affiliation: | Xu Rong,LI Shu-ye,LIANG Qin-long.Department of Neck and head surgery,Shaanxi Provincial cancer Hospital,Xi'an 710061,China. |
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| Abstract: | Objective To explore the cause of reoperation for thyroid carcinoma and proper operation style.Methods The clinical data of 95 reoperated cases with differentiated thyroid cancer were analyzed retrospectively.Results Thetotalrateofresidualdiseaseswas 5 5 .7% .Therateoftheresidualdiseasesatprimarysitewas 42 . 76 % .Therateoflaryngealrecurrentnerveinjuryoffirstoperationwithnodulectomyorsubtotallobectomyinother hospitalwas 8.4% .Conclusion Thestandardlobectomyshouldbeselectedforthyroidtumor.Itisimportantto anatomizelaryngealrecurrentnerveinsurgery .Ifthelymphnodesmetastasiswassuspected ,thenecknodedissection shouldbeselected . |
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| Keywords: | thyroid neoplasm cancer surgery reoperation |
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