324例分化型甲状腺癌的临床分析

目的探讨分化型甲状腺癌的诊断和治疗方法。方法回顾性分析324例分化型甲状腺癌的临床资料及随访结果。结果本组病例中,乳头状癌236例(72.84%),滤泡状腺癌88例(27.16%),淋巴结转移者57例(17.59%);手术方式包括单侧病变行患侧腺叶、峡部及对侧大部切除199例,甲状腺全切40例,功能性颈淋巴结清除术62例,姑息性手术或活检7例;术后随访5年,生存率97.53%。结论对于分化型甲状腺癌,应根据临床分期决定手术方式,以提高生存期,改善生活质量。

Analysis of clinic characteristics on differentiated thyroid carcinoma in 324 cases

Objective Analysis of clinic characteristics on differentiated thyroid carcinoma.Methods The clinical data and follow-up results of 324 cases of differentiated thyroid carcinoma were retrospectively analyzed.Results All of the 324 patients received operation.Histological examination after operation revealed papillary thyroid carcinoma in 236 cases(72.84%),follicular thyroid carcinoma in 88 cases(27.16%),and lymph node metastasis was found in 57 cases(17.59%).The operative procedure included excision of the affected lobe,isthmus and greater part of the opposite lobe in 199 cases,total thyroidectomy in 40 cases,thyroidectomy and bilateral cervical dissection in 62 cases,palliative surgery in 7 cases.Following up of 324 cases showed the 5-year survival rate was 97.53%.Conclusions Proper selection of surgical procedure on the basis of clinic stage has positive effect on the prognosis of differentiated thyroid carcinoma.