改善功能外观的颈部淋巴结清扫术在甲状腺乳头状癌治疗中的应用

甲状腺乳头状癌患者颈淋巴结转移率较高，因此颈部淋巴结清扫术是治疗该类患者的重要组成部分。由于甲状腺乳头状癌恶性程度较低且预后较好，患者对术后功能外观要求较高，故颈部淋巴结清扫术方式也在逐步改良。低位弧形领式切口保留颈丛的改良选择性颈部淋巴结清扫术，因其切口与颈部横行皮纹重合，可改善术后患者功能外观而逐渐应用于临床。现就彻底性、安全性两方面探讨改善功能外观的甲状腺癌颈部淋巴结清扫新术式。

Functional and appearance improvement of a new modified neck dissection with cervical sensory nerve preservation in thyroid papillary carcinoma treatment

Thyroid papillary carcinoma harbors higher rate of lymph node metastasis, so neck dissection is an important part of the treatment. Due to better prognosis, attention to postoperative function and appearance of the patients increased. Low-collar incision with cervical sensory nerve plexus preservation modiifed neck dissection can improve appearance and function in postoperative patients and is gradually applied in clinic. This review mainly examines the thoroughness and safety of this new neck dissection in thyroid papillary carcinoma patients.