甲状腺全切除术治疗甲状腺癌的临床体会

The clinical experience of total thyroidectomy in the treatment of thyroid carcinoma

目的 探讨甲状腺全切除术在治疗甲状腺癌中的临床应用价值。方法 我院 1985～2 0 0 0年经同一外科医生施行甲状腺全切除术治疗甲状腺癌 87例 ,对其发生并发症及术后 1 3 1 I治疗进行回顾性分析。结果 术后观察 :喉返神经损伤 2例 (2 .3% ) ,低钙血症 1例 (1.1% ) ,无永久性喉返神经损伤或低钙血症 ,无死亡。 84例患者术后获得随访 ,平均随访 5年 ,无瘤生存 82例 (97.6 % ) ,其中选择性进行 1 3 1 I治疗 5 8例 ,占 70 .7% (5 8/ 82 )。结论 甲状腺全切除术是治疗甲状腺癌安全、有效的手术方式 ,能彻底切除腺体内恶性肿瘤的潜在转移性病变 ,为术后进行1 3 1

Objective To evaluate the therapeutic value of total thyroidectomy in the thyroid carcinoma.Methods 87 patients of thyroid carcinoma were operated by one surgeon with total thyroidectomy from 1985-2000 in our hospital, We carried out a retrospective research for the complication rates and postoperative iodine 131 treatment. Results Observing after operation revealed that there were 2(2.3%) of recurrent laryngeal nerve damage, 1(1.1%) of thypocalecimia, 1(1.1%) of atelectasis, and no deaths, permanent laryngeal nerve damage, or permanent hypocalcemia.Conclusion Total thyroidectomy is safe and effective procedure in the treatment of thyroid carcinoma, this approach can offer the advantage of removal of tissue at risk for malignant transformation,and enhances the use of the postoperative iodine 131 treatment.