甲状腺癌再手术15例

目的：探讨甲状腺癌患者再手术的相关因素,选择合理的手术方式。方法：对15例再手术的分化型甲状腺癌患者的资料进行回顾性分析。结果：15例中二次手术者12例，三次手术者3例；15例分化型甲状腺癌再次手术发现总残癌率为60.0%(9/15),其中原发部位残癌率46.7% (7/15)，颈部淋巴结转移40.0（6/15）。结论：甲状腺肿瘤手术应行甲状腺腺叶切除,疑有颈淋巴结转移时要行规范化的颈淋巴结清扫术。

Re-operation for thyroid cancer

Objective： To explore the factors of re operation for thyroid carcinoma and to select a proper operative procedure. Methods: Fifteen cases with differentiated thyroid cancer subjected to re operation were retrospectively analyzed. Results: Of the 15 patients, 12 were operated on twice, and 3 were operated on three times. The residual cancer was found in 60%(9/15) of the patients, that located at the primary site was found in 46.67%(7/15) of them, that transferred to the lymph node was found in 40% (6/15) of them. Conclusion: It is necessary to have a standard to deal with the neck nodular and tumor. Standard lobectomy shoule be done for thyroid tumor, and radical neck dissection should be done for those suspected of having lymph node metastasis.