分化型甲状腺癌再手术治疗的探讨

STUDY OF RE - OPERATION ON PATIENTS WITH DIFFERENTIATED THYROID CARCINOMA

对172例分化型甲状腺癌的再手术治疗进行分析。首次手术为单纯肿瘤或一侧腺叶次全切除术,残留癌率分别为65.43％和84.21％,此两种术式残留癌率高。作者提出了再次手术指征和手术方式;对分化型甲状腺癌术后残留或复发患者,主张根据病情积极进行再手术,不宜盲目选择非手术的保守治疗。

A series of 172 patients with differentiated thyroid carcinoma treated with reoperation were reported. The initial operations were either simple lump resecton or unilateral subtotal lobectomy. The rates of postoperative cancer residue were 65.43 % and 84.21 % respectively. Generally, both methods of the operation should not be employed due to their imperfection for cancer resection. Indications and methods of reoperation were discussed. Authors recommended unilateral thyroidectomy with isthmus resection for single nodular thyroid cancer and aggressive re - operation patients with for postoperative recurrence or patients had received inappropriate operations previously, never choosing non- operative therapy rashly.