多功能性保留颈淋巴结清扫术在甲状腺乳头状癌手术中的应用

目的: 探讨多功能性保留颈淋巴结清扫术在甲状腺乳头状癌手术中的应用价值。方法: 回顾性分析52例甲状腺乳头状癌手术中行多功能性保留颈淋巴结清扫术患者的临床资料及多功能性保留颈淋巴结清扫术的操作方法。结果: 颈淋巴结转移率66%,声音嘶哑3.8%;术后颈丛功能满意(颈部肌肉无僵硬萎缩,无肩下垂、抬肩无力及肩部疼痛,亦无耳后、肩部感觉障碍和面部水肿)。结论: 多功能性保留颈淋巴结清扫术在甲状腺乳头状癌手术中治疗作用确切,但对于颈部淋巴结广泛转移且淋巴结较大、肿瘤外浸明显的不在该手术考虑范围内。

Multifunctional conservative neck dissection in treatment of thyroid papillary carcinoma

Objective: To discuss the multifunctional conservative neck dissection in the treatment of thyroid papillary carcinoma. Methods: The data of 52 patients with thyroid papillary carcinoma were analyzed for the operational technique in multifunctional conservative neck dissection preserving cervical plexus retrospectively. Results: In the group, the rate of lymph node metastasis was 66%. There were no impairment of sensation of ears and lower necks and upper shoulders and no muscles of neck atrophy. Conclusions: The preservation of cervical plexus in the multifunctional conservative neck dissection for thyroid papillary carcinoma does not increase the recurrence of the lymph node metastasis. However, it can protect the sensation of ears, lower necks and upper shoulders.