甲状腺分化癌局部切除后再次功能性颈清扫术

Bocas' lymphadenectomy in differatiated thrid carcinoma ofter focal thyroidectomy

目的:探讨只做局部切除术后的分化型甲状腺癌,施行再手术的必要性与手术操作技术。方法:分析110例局部切除术后,再次手术病人的临床特点,病理检查情况,以及近期与远期疗效。结果:初次术后半数病例有不同程度的癌残留,其中甲状腺残留癌占24.5%,残存转移淋巴结者为30%,另有3.6%发现肌肉癌浸润。本组无术后并发症,远期效果良好。结论:功能性颈清扫术是必要的,提出了术式的改进与避免再手术的措施。

objective To investigate the necessity of radical reoperation and reoperative technique to the patients with differatiated thyroid carcinoma and only focal thyroidectomy. Method We summarized clinic character and pathologic situation of radical repoerative 110 cases with differatiated thyroid carcinoma and only focal thyroideetomy and we observed their effects in the near future and in the long future. Results After the primary operation, residual carcinoma presented in nearly 50% of the cases. 24.5% of the residual carinoma were found in metastatic lympbonoid. I~ addition,residual earcinoma of 3.6% invaded muscle. There were no post - operative complications in our study and there were good effect in the long future. Conclusion Radical reoperation is necessary and we raise an improved operation and steps for avoiding reoperation.