| 同期双侧侧颈淋巴结清扫术在甲状腺癌治疗中的应用 |
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| 引用本文： | 沈晓卉,薛松,丁家增,陈海珍,陈曦,李宏为.同期双侧侧颈淋巴结清扫术在甲状腺癌治疗中的应用[J].外科理论与实践,2014(6):525-528. |
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| 作者姓名： | 沈晓卉 薛松 丁家增 陈海珍 陈曦 李宏为 |
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| 作者单位： | 上海交通大学医学院附属瑞金医院外科,上海200025 |
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| 摘 要： | 目的:讨论同期双侧侧颈淋巴结清扫术(bilateral neck dissection,BND)的手术指征及安全性。方法:回顾性分析本院2006年1月至2014年3月行同期BND的19例甲状腺癌病人,其中甲状腺乳头状癌12例(63.2%);甲状腺髓样癌7例(36.8%)。结果:19例病人中位住院时间为8(7~14)d,术后并发症发生率为5例(26.3%),1例弥漫硬化性甲状腺乳头状癌病人术后出现局部淋巴结复发转移,1例髓样癌术后出现淋巴结转移以及远处转移。结论:在喉返神经、颈内静脉没有侵犯的前提下,同期BND未增加手术并发症的发生率,减少了病人再次手术的痛苦,安全可行。
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| 关 键 词： | 甲状腺癌 治疗 手术 |
Simultaneous bilateral neck dissection for thyroid carcinoma |
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| SHEN Xiaohui,XUE Song,DING Jiazeng,CHEN Haizhen,CHEN Xi,LI Hongwei.Simultaneous bilateral neck dissection for thyroid carcinoma[J].Journal of Surgery Concepts & Practice,2014(6):525-528. |
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| Authors: | SHEN Xiaohui XUE Song DING Jiazeng CHEN Haizhen CHEN Xi LI Hongwei |
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| Institution: | (Department of Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China) |
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| Abstract: | Objective To investigate the surgical indication and safety of simultaneous bilateral neck dissection（SB- ND）. Methods Nineteen patients with thyroid carcinoma who received SBND including 12 cases （63.2%） of papillary thyroid carcinoma （PTC） and 7 cases （36.8%） of medullary thyroid carcinoma （MTC） were studied retrospectively between January 2006 and March 2014 in our hospital. Results The median hospitalization time was 8 （range 7-14） days with morbidity of 26.3% （5 cases）. One case with PTC of diffuse sclerosing variant was found local lymph node metastasis post-operatively and 1 case with MTC both lymph node and distant metastasis. Conclusions The SBND would be safe with similar morbidity without the need of second operation when the patient is not found recurrent laryngeal nerve and internal jugular vein invasion |
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| Keywords: | Thyroid carcinoma Treatment Operation |
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