甲状腺癌再手术

Reoperation of thyroid gland cancer

目的探讨甲状腺癌病人再手术的相关因素，选择合理的手术方式。方法对12例再手术的分化型甲状腺癌病人的资料进行回顾性分析。结果12例中2次手术者11例，3次手术者1例；12例分化型甲状腺癌再次手术发现总残癌率为66．7％（8／12），其中原发部位残癌率50％（6／12），颈部淋巴结转移48％（5／12）。结论甲状腺肿瘤手术应行甲状腺腺叶切除，疑有颈淋巴结转移时要行规范化的颈淋巴结清扫术。

Objective To discuss the relevant factors of re-operation for thyroid cancer patients and select a reasonable procedure. Methods 12 cases of reoperation in patients of differentiated thyroid cancer were retrospectively analyses. Results There were 11 cases of the second operation and 1 case of the third operation in 12 cases. 12 cases of differentiated thyroid cancer in reoperation found that the residual cancer rate was 66.7% （8/12）, in which the original site of the residual cancer rate was 50% （6 / 12）, and neck metastasis 48% （5/12）. Conclusions Thyroid cancer operation should remove the thyroid gland, and suspected neck metastasis will be standardized at the neck dissection.