分化型甲状腺癌430例手术方式与并发症分析

目的探讨分化型甲状腺癌的合理手术方式的选择及其并发症的预防方法。方法回顾性分析2003年6月至2006年9月收治430例分化型甲状腺癌的临床资料。430例均行双侧甲状腺全切除,加或不加颈淋巴结清扫术。结果全组无手术及住院期间死亡。喉神经损伤5例(1.16%),均为单侧;甲状旁腺损伤2例(0.47%),均为部分损伤;喉上神经损伤3例(0.69%),术后出血3例(0.69%),食管损伤1例(0.23%)。结论分化型甲状腺癌是双侧甲状腺全切除的适应证,安全可行。

Operational mode for differentiated thyroid cancer and correlated complications

Objective To approach reasonable operational mode with differentiated thyroid cancer and precaution of correlated complications.Methods The clinical data of 430 cases of differentiated thyroid cancer admitted between June 2003 and September 2006 at the Union Hospital of Huazhong University of Science and Technology were reviewed retrospectively.All the cases were performed bilateral thyroidectomy with or without cervical lymphonode excision.Results There were no death with operation or in hospital. There were 5 cases (1.16%) of single lateral recurrent laryngeal nerve injury,2 cases (0.47%) of parathyroid gland partly injury,3 cases (0.69%) of superior laryngeal nerve injury,3 cases (0.69%) of bleeding and 1 case (0.23%) of esophago injury after operation.Conclusion Total thyroidectomy is essential operational mode for differentiated thyroid cancer,and it is secure and feasible.