摘要
目的:探讨甲状腺肿瘤手术治疗的合理性及术式选择。方法:结合文献对10年间160例甲状腺手术病例进行回顾性分析。结果:全组男性47例,女性113例,其中甲状腺腺瘤103例,结节性甲状腺肿41例(包括胸内甲状腺肿3例,伴甲状腺功能亢进6例),甲状腺癌16例。手术采取甲状腺腺叶切除77例,甲状腺次全切除术65例,双侧甲状腺次全切除5例,胸内甲状腺切除术3例,腺叶加峡部切除并颈淋巴结清扫术10例。全组无手术死亡,均痊愈出院。仅1例甲状腺腺瘤术后5年复发,再次手术治愈。结论:甲状腺肿瘤病变多样,解剖关系复杂,术前物理检查、同位素扫描、B超、甲功测定以及X线、CT为常规诊断方法,但对甲状腺癌诊断较为困难,疑似病例需行细针抽吸细胞学检查,对甲亢病例应做充分准备,手术应注意显露并保护喉返神经,这是预防手术并发症的关键。
Objective：To analyze the surgical data of thyroid disease cases treated by thyroidectomy. Methods： To analyze the data of 160 cases of thyroid operations conducted over more than 10 years since 1996. Results： A-mong 160 cases there were 47 males, 113 females. Thyroid tumor and cystis 103 cases,nodular goiter 41 cases, including 3 cases of struma endothoracica and 6 cases of concomitant hyperthyroidosis. Thyroid carcinoma 16 cases. Thyroid lobectomy 77 cases, subtotal thyroidectomy 65 cases, bilateral subtotal thyroidectomy 5 cases, introthoracic thyroidectomy 3 cases. All patients were cared. Conclusion： Thyroid tumors are various. Diagnosis could be made by isotope scanning, B - ultrasound screening and CT.
出处
《现代肿瘤医学》
CAS
2008年第8期1293-1295,共3页
Journal of Modern Oncology
关键词
甲状腺
肿瘤
手术
疗效
thyroid
cancer
surgical treatment
