| 分化型甲状腺癌行颈部淋巴结清扫的意义及方式探讨 |
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| 引用本文： | 章阳,崔兆清,孙善平,任玉波,许俊龙,姚玉民,陈启,张伟,李蕊,关众,焦德,李文磊,周长鑫. 分化型甲状腺癌行颈部淋巴结清扫的意义及方式探讨[J]. 中国实用外科杂志, 2011, 0(5) |
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| 作者姓名： | 章阳 崔兆清 孙善平 任玉波 许俊龙 姚玉民 陈启 张伟 李蕊 关众 焦德 李文磊 周长鑫 |
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| 作者单位： | 山东省聊城市人民医院乳腺甲状腺外科;山东省聊城市人民医院病理科; |
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| 摘 要： | 目的探讨分化型甲状腺癌行颈部淋巴结清扫的意义及手术方式的选择。方法自2007年1月至2010年6月山东省聊城市人民医院手术治疗分化型甲状腺癌病人428例(506侧),其中在标准甲状腺癌改良根治术基础上简化操作过程(简称简化术式)完成手术349例侧。术后分组检测各区淋巴结转移发生率,比较不同手术方法术后并发症。结果本组中行中央区淋巴结(Ⅵ区)清扫者441例侧,转移发生率为52.83%(233/441);行颈侧区淋巴结清扫(Ⅱa、Ⅲ、Ⅳ、Ⅴb区)者385例侧,转移发生率为44.42%(171/385),其中Ⅱa区23.98%、Ⅲ区67.84%、Ⅳ区53.80%、Ⅴb区4.68%。结论分化型甲状腺癌即便是微小癌也有较高的颈部淋巴结转移发生率。对于临床颈侧区淋巴结阴性(cN0)病人也应常规行颈部淋巴结清扫术,以消除病变遗漏及复发隐患,全面准确评价颈部淋巴结状态。简化甲状腺癌改良根治术最大程度的降低了创伤,更加符合功能性根治的原则,适应证广泛,值得推广应用。
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| 关 键 词： | 分化型 甲状腺癌 淋巴结转移 简化 改良性颈淋巴结清扫术 |
The choice and significance of neck lymph node dissection for differentiated thyroid carcinoma |
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| ZHANG Yang,CUI Zhao-qing,SUN Shan-ping,et al.. The choice and significance of neck lymph node dissection for differentiated thyroid carcinoma[J]. Chinese Journal of Practical Surgery, 2011, 0(5) |
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| Authors: | ZHANG Yang CUI Zhao-qing SUN Shan-ping et al. |
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| Affiliation: | ZHANG Yang*,CUI Zhao-qing,SUN Shan-ping,et al.*Department of Breast &Thyroid Surgery,Liaocheng People's Hospital of Shandong Province,Liaocheng 252000,China |
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| Abstract: | Objective To explore the operation mode choice and significance of neck lymph node dissection for differentiated thyroid carcinoma(DTC).Methods From January 2007 to June 2010,428 cases(506 sides) of DTC were treated by operations at Liaocheng People's Hospital of Shandong Province.Among them,349 cases performed simplified operative procedure depended on standard modified radical thyroidectomy.The lymph nodes of neck were evaluated separately.The complications of different operation modes were compared.Resul... |
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| Keywords: | differentiated thyroid carcinoma lymphatic metastasis simplified modified radical neck lymph node dissection |
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