期刊文献+

甲状腺癌双侧颈淋巴结清扫术16例临床观察 被引量:3

Clinical study on bilateral radical dissection of neck lymph nodes in surgical treatment of thyroid carcinoma in 16 cases
下载PDF
导出
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
关键词 甲状腺癌 甲状腺切除术 颈淋巴结清扫术 Thyroid carcinoma Thyroidectomy Radical neck dissection
  • 引文网络
  • 相关文献

参考文献5

二级参考文献21

  • 1李树玲.甲状腺癌的治疗方案[J].普外基础与临床杂志,1996,3(3):168-169. 被引量:6
  • 2刘世勋 邱蔚六 等.双侧根治性颈淋巴结清扫术[J].中华口腔医学杂志,1988,23(2):82-84.
  • 3树观.头颈部恶性肿瘤[M].郑州:河南科技出版社,1990,194.
  • 4刘世勋.双侧根冶性颈淋巴清扫术(安全性与适应证的探讨)[J].中华口腔医学杂志,1988,23(2):82-84.
  • 5振权.李振权氏颈淋巴结清除术[M].广州:广东科技出版社,1993,19~20.
  • 6Eroglu A,Unal M,Kocaoglu H.Total thyroidectom for differentiated thyroid Carcinoma:Primary and Secondary operations[J].Eur J Surg Onc01,1998,24:283~284.
  • 7Nakao K,Hamaja M,Nakahara M,et al.Aggresivesurgicalapproach:tothyroid cancerwith invation of the trachea[J].Asian J Surg,1994,17:102.
  • 8Grossman RF,Tu SH,Duh QY,et a1.Familial nonmeduliarv thyroid.cancer:an emergin entity that warrants aggerssive treatment[J].Arch:Surg,1995,130:892.
  • 9Henry JF,Gramatical L,Denizot A,et al.Morbidity of prophylactic Lymph node dissection in the central neck area in patients with papillarythyroid carcinoma[J].Langenbecks Arch Surg,1998,383:167~169.
  • 10Goretzki PE,Simon D,Frilling A,et al.Surgicalreintervention for differentiated thyroidcancer[J].Br J Surg,1993,80:1009.

共引文献7

同被引文献20

  • 1吴毅.分化性甲状腺癌外科治疗的有关问题[J].中国实用外科杂志,2004,24(10):577-578. 被引量:87
  • 2郭大斯.双侧甲状腺癌的外科治疗(附9例分析)[J].江苏医药,1994,20(10):554-555. 被引量:5
  • 3蔡伟华,黄永建,曹永晋.双侧甲状腺癌的外科治疗[J].福建医科大学学报,2006,40(5):502-503. 被引量:4
  • 4李宁译.H.J.Biersack,F.Grunwald.甲状腺癌[M].北京:人民卫生出版社,2007.
  • 5Eroglu A,Unal M, Kocaoglu H. Total thyroidectomy for differentiated thyroid carcinoma: primary and secondary operations[J]. Eur J Surg Oncol, 1998, 24(4):283-287.
  • 6Wilson DB,Staren ED, Prinz RA. Thyroid reoperations: indications and risks[J]. Am Surg, 1998, 64(7):674-679.
  • 7Herman K, Wysocki W, Fortuna J. Should cervical lymph nodes he eleetively removed in differentiated thyroid carcinoma?[J]. Wiad Lek, 2001, 54(Suppl 1):205-209.
  • 8Biersack HJ,Gr ünwaldF.甲状腺癌.李宁,译.北京:人民卫生出版社,2007:71.
  • 9Herman K,Wysocki W,Fortuna J.Should cervical lymph nodes be electively removed in differentiated thyroid carcinoma? Wiad Lek,2001,54 Suppl 1:S205-209.
  • 10Eroglu A,Unal M,Kocaoglu H.Total thyroidectomy for differentiated thyroid carcinoma:primary and secondary operations[J].Eur J Surg Oncol,1998,24(4):283-287.

引证文献3

二级引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部