摘要
目的探讨甲状腺癌双侧颈淋巴结清扫术的疗效。方法回顾性分析2001~2006年收治16例甲状腺癌患者资料。双侧甲状腺癌5例和峡部甲状腺癌1例者行甲状腺次全切除,10例单侧甲状腺癌均行患侧甲状腺叶及峡部全切除,所有病例均行功能性双侧颈淋巴结清扫术。结果12例双侧有淋巴结转移,4例一侧有淋巴结转移;5例术后出现一过性甲状旁腺功能低下,补钙后缓解,5周后恢复正常;2例颜面水肿,3周内消退。无喉返神经麻痹等严重并发症。随访1~6年,2例死亡,其余病例均健在。结论甲状腺癌进行同期功能性颈淋巴结清扫术在保证手术彻底性的同时,最大限度地保留机体功能,安全性高且不增加手术并发症,可提高患者的生存率和生存质量。
Objective To investigate the effect of bilateral radical dissection of neck lymph nodes in surgical treatment of thyroid carcinoma. Methods The clinical data of 16 cases of thyroid carcinoma admitted and treated in this hospital from 2001 to 2006 were retrospectively analyzed. Among them, 5 cases with bilateral thyroid carcinoma and 1 case with thyroid isthmic carcinoma were treated by total thyroidectomy, and 10 cases with unilateral thyroid carcinoma were treated by lobectomy or subtotal thyroidectomy. All cases underwent bilateral functional radical dissection of neck lymph nodes besides primary lesion excision. Results 12 cases had metastasis in bilateral lymph nodes, and 4 cases with metastasis in unilateral lymph nodes. Five cases experienced transient hypothyroidism after the operation and they were improved later by calcium supplement. Two cases experienced facial edema which was resolved 3 weeks later. There was no recurrent laryngeal nerve paralysis occurred. The follow - up was lasted for 1 - 6 years, all cases survived except 2 death. Conclusion Bilateral radical dissection of neck lymph uodes in surgical treatment of thyroid carcinoma is very safe and it doesnt increase the occurrence of complications. At the same time, it can ensure the thoroughness of operation and it can also improve the survival rate and life quality of patients.
出处
《临床和实验医学杂志》
2008年第6期77-78,共2页
Journal of Clinical and Experimental Medicine