保留颈丛神经颈淋巴结清扫术在分化型甲状腺癌手术中的应用

目的:探讨保留颈丛神经的颈淋巴结清扫术在甲状腺癌手术中的临床应用。方法:27例分化型甲状腺癌患者行保留颈丛神经的功能性颈淋巴结清扫术,观察其临床效果。结果:27例患者耳部感觉均良好,下颈及肩部无麻木或疼痛感;随访1~3年,无颈淋巴结复发。结论:保留颈丛神经的功能性颈淋巴结清扫术能有效地提高患者生存质量,不会增加颈淋巴结复发率。

Application of neck dissection preserving cervical plexus nerve in differentiated thyroid cancer

Objective： To explore the clinical application of neck dissection preserving cervical plexus nerve in thyroid cancer. Methods：The neck dissection preserving cervical plexus nerve was performed in 27 patients with differentiated thyroid cancer, and the clinical effect was observed. Results： No impairment of sensation of ears, lower necks or shoulders were found in all the 27 patients, and no recurrence of lymph node of neck was observed during the follow-up of one to three years. Conclusions： The neck dissection preserving cervical plexus nerve can improve the life quality of the patients without increasing the recurrence rate of lymph node of neck.