手术治疗分化型甲状腺癌51例临床分析

目的探讨分化型甲状腺癌手术治疗方式。方法回顾分析51例手术治疗的分化型甲状腺癌(DTC)的临床资料,分析甲状腺癌切除范围及颈淋巴结清扫方式探讨其治疗并随访其疗效。结果 51例患者均行手术治疗,无围术期死亡病例发生,短期低钙血症5例(9.80%),暂时性声音嘶哑8例(15.68%),2例(3.92%)发生喉返神经麻痹;初次手术患组甲状旁腺损伤和声音嘶哑发生率显著低于再次或再次手术组(P<0.05)。结论 DTC多主张行甲状腺全切除术或近全切除术治疗,同时结合患者肿瘤分期及颈淋巴结情况行颈部淋巴结清扫术。

Clinical Analysis of Surgical Treatment for 51 Cases with Differentiated Thyroid Carcinoma

Objective To investigate the method of surgical treatment in patients with differentiated thyroid carcinoma. Methods The clinical data of 51 patients with differentiated thyroid carcinoma in our hospital were retrospectively analysed in the excisional extent of thyroid gland, the mode of neck dissection. Results All of the 51 cases were surgically treated, there was no death with operation, there was 5 cases （9.80%） with shortdated low Ca syndrome,8 cases （ 15.68% ） with transitory craked and 2 cases （3.92%） with complication of laryngeal nerve paralysis. The parathyroid gland partly injury andtransitory oinked in the group of first time surgical were statistically significant difference than reoperation group （P 〈 0.05） . Conclusion It is recommended that total or near total thyroidectomy for differentiated thyroid carcinoma, the neck dissection should be considered according to the stage of the carcinoma.