| 甲状腺全切除术治疗甲状腺癌的临床体会 |
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| 引用本文： | 林龙,邝才湜,陈一明. 甲状腺全切除术治疗甲状腺癌的临床体会[J]. 临床外科杂志, 2002, 10(Z1): 19-20 |
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| 作者姓名： | 林龙 邝才湜 陈一明 |
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| 作者单位： | 570311,海南省人民医院普通外科 |
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| 摘 要： | 目的探讨甲状腺全切除术在治疗甲状腺癌中的临床应用价值.方法我院1985～2000年经同一外科医生施行甲状腺全切除术治疗甲状腺癌87例,对其发生并发症及术后131I治疗进行回顾性分析.结果术后观察喉返神经损伤2例(2.3%),低钙血症1例(1.1%),无永久性喉返神经损伤或低钙血症,无死亡.84例患者术后获得随访,平均随访5年,无瘤生存82例(97.6%),其中选择性进行131I治疗58例,占70.7%(58/82).结论甲状腺全切除术是治疗甲状腺癌安全、有效的手术方式,能彻底切除腺体内恶性肿瘤的潜在转移性病变,为术后进行131I治疗创造有利条件.
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| 关 键 词： | 甲状腺癌 甲状腺全切除术 131 I治疗 |
| 文章编号： | 1005-6483(2002)增刊-0019-02 |
| 修稿时间： | 2001-12-17 |
The clinical experience of total thyroidectomy in the treatment of thyroid carcinoma |
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| LIN Long,KUAN Caishi,CHEN Yimin. The clinical experience of total thyroidectomy in the treatment of thyroid carcinoma[J]. Journal of Clinical Surgery, 2002, 10(Z1): 19-20 |
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| Authors: | LIN Long KUAN Caishi CHEN Yimin |
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| Affiliation: | LIN Long,KUAN Caishi,CHEN Yimin. Department of General Surgery,Hainan provincial People's Hospital,Hainan 570311,China |
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| Abstract: | Objective To evaluate the therapeutic value of total thyroidectomy in the thyroid carcinoma.Methods 87 patients of thyroid carcinoma were operated by one surgeon with total thyroidectomy from 1985-2000 in our hospital, We carried out a retrospective research for the complication rates and postoperative iodine 131 treatment. Results Observing after operation revealed that there were 2(2.3%) of recurrent laryngeal nerve damage, 1(1.1%) of thypocalecimia, 1(1.1%) of atelectasis, and no deaths, permanent laryngeal nerve damage, or permanent hypocalcemia.Conclusion Total thyroidectomy is safe and effective procedure in the treatment of thyroid carcinoma, this approach can offer the advantage of removal of tissue at risk for malignant transformation,and enhances the use of the postoperative iodine 131 treatment. |
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| Keywords: | Thyroid carcinoma Total thyroidectomy Iodine 131 treatment |
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