摘要
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.
出处
《中华内分泌外科杂志》
CAS
2009年第3期165-166,169,共3页
Chinese Journal of Endocrine Surgery