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微小型甲状腺癌的临床诊治
引用本文:邱新光,王庆兆,郜永顺,卢秀波,殷德涛. 微小型甲状腺癌的临床诊治[J]. 郑州大学学报(医学版), 2002, 37(4): 413-415
作者姓名:邱新光  王庆兆  郜永顺  卢秀波  殷德涛
作者单位:郑州大学第一附属医院普通外科,郑州,450052
基金项目:河南省科技攻关资助项目  199932 0 0 0 9
摘    要:目的:探讨研究微小甲状腺癌的临床诊治特点。方法:对1992年5月至20002年3月收治的31例微小型甲状腺癌患者的资料进行回顾性分析。结果:共行单侧甲状腺腺叶加峡部切除术22例;双侧甲状腺次全切除术3例;单侧腺叶、峡部切除术加同侧颈淋巴结清扫术5例;双侧甲状腺次全切除加淋巴结清扫1例。全组31例无手术死亡和术后并发症。结论:甲状腺腺叶加峡部切除是微小型甲状腺癌手术治疗较理想的术式;有淋巴结转移者同时行功能性颈淋部淋巴结清扫术。

关 键 词:微小型甲状腺癌 诊断 治疗
修稿时间:2002-03-18

Diagnosis and treatment of thyroid microcarcinoma
QIU Xinguang,WANG Qingzhao,GAO Yongshun,LU Xiubo,YIN Detao. Diagnosis and treatment of thyroid microcarcinoma[J]. Journal of Zhengzhou University: Med Sci, 2002, 37(4): 413-415
Authors:QIU Xinguang  WANG Qingzhao  GAO Yongshun  LU Xiubo  YIN Detao
Affiliation:QIU Xinguang,WANG Qingzhao,GAO Yongshun,LU Xiubo,YIN Detao Department of General Surgery,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052
Abstract:Aim: To study the characteristics for the diagnosis and treatment of thyroid microcarcinoma (TMC). Methods: A total of 31 cases of TMC undergoing surgical treatment in our hospital from May 1993 to March 2002 were reviewed retrospectively. Results: Total resection of the affected lobe and isthmus was performed in 22 cases.Subtotal thyroidectomy was performed in 3 cases. Total resection of the affected lobe, isthmus and neck dissection was performed in 5 cases. There was no mortality in operation or postoperative complication. Conclusions: Total thyroidectomy of a lobe is a better therapy of choice. Neck lymph node excision should be taken if there is local infiltration or if neck lymph node is palpable.
Keywords:thyroid neoplasm  diagnosis  treatment
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