甲状腺微小癌的手术范围探讨

Explore the scope of the operation on thyroid microcarcinoma

目的探讨甲状腺微小癌的合理切除范围。方法总结46例甲状腺微小癌切除范围。其中行甲状腺一侧全切＋对侧次全切28例，甲状腺双侧叶次全切8例，甲状腺一侧叶全切及部分切除术3例，甲状腺一侧叶全切＋同侧颈部淋巴结清扫＋对侧次全切7例。结果术后均痊愈出院，随访1～5年，2例分别于术后3年及4年复发，余均未见复发及转移，无1例死亡。结论甲状腺微小癌合理的手术范围是患侧叶全切＋峡部切除＋对侧叶次全切除术。

Objective To discuss the appropriate excision area of the thyroid mierocacinoma. Methods 46 patients with thyroid microcarcinoma confirmed by pathology result were analyzed, in which 28 patients under- went thyroid lobectomy of lesion side and subtotal lobectomy of the other; 8 patients were treated with subtotal lobectomy of both side; 3 patients were treated with lobectomy of one side and partial resection of the other, while the rest 7 patients underwent the surgery of lesion side lobectomy and neck dissection plus subtotal lobectomy of the other side. Results No eomplicaitons were observed. All patients were follow-uped for 1 - 5 years. 2 patients were disgnosed as recurrance 3 years and 4 years after the operation respectively. The rest survived without recurranee. Conclusions The appropriate surgery approach for thyroid microcacinoma might be lesion side lobectomy and subtotal lobectomy of the other side.