甲状腺癌的诊断和二次手术

DIAGNOSIS AND REOPERATION OF THYROID CANCER

目的：讨论甲状腺癌诊断依据和误诊原因。探讨甲状腺癌术后近期二次手术的必要性。方法：回顾１５０例甲状腺癌的诊断和误诊原因，分析二次手术的相关因素。结果：甲状腺癌术前诊断率低，误诊率高。二次手术２４例，其中残余癌１０例，说明二次手术很有必要。结论：对甲状腺肿瘤行甲状腺腺叶切除能预防二次手术。

Objective:To discuss the basis of diagnosis and causes of wrong diagnosis for thyroid cancer and to investigate the necessity of reoperation soon after the first one for thyroid cancer. Methods: Reviewed the reasons of diagnosis and errorneous diagnosis to the 150 cases of thyroid cancer, studied the relative factors of reoperation. Results:Rate of diagnosis of thyroid cancer before the operation is lower while that of errorneous diagnosis is higher. Ten out of the 24 patients who had a second operation suffered from residual cancer, which showed the necessity for reoperation. Conclusion:Using lobectomy of thyroid to treat thyroid diseases can prevent reoperation.