中央组淋巴结清扫术在甲状腺乳头状癌术中应用的体会

Lymph node dissection of central group in the treatment of papillary thyroid cancer

目的探讨在彻底切除肿瘤的前提下,实施中央组淋巴结清扫术对提高甲状腺乳头状癌临床疗效的效果。方法20例甲状腺乳头状癌,采用患侧腺叶切除3例,患侧腺叶和峡部切除加对侧腺叶大部分切除15例,双侧腺叶和峡部切除2例,均行中央组淋巴结清扫。结果全部患者术后恢复正常,并发一过性喉返神经损伤1例;并发一过性甲状旁腺功能减退1例。患者术后无颈部肿瘤复发。结论实施中央组淋巴结清扫术可达到与目前常规颈侧区淋巴结清扫术相同的治疗效果而较少副反应。中央组淋巴结清扫术可提高甲状腺乳头状癌治疗效果。

Objective With the premier of complete removal of caninoma , lymph node dissection of central group can improve the treatment effect of papillary thyroid cancer. Methods Twenty eases of papillary thyroid cancer undertook operation in our hospital during recent 5 years, of which 3 had lobectomy , 15 had excision of involved lobe isthus and great lobectomy of the opposite side, 2 had total thyroidectomy, all above patients had lymph node dissection of central group. Results All cases had uneventful recovery after operation , only 1 case complicated with temporary recurrent larygeal nerve injury, 1 case with temporary hypoparathyroidism, with no cervical recurrence. Conclusion Lymph node dissection of central group have the same effect as routine cervical lymph node dissection, but less side effect, so it is a good way for the treatment of papillary thyroid cancer.