甲状腺癌诊断及术后并发症的临床分析

Clinical analysis of diagnosis and postoperative complication of thyroid carcinoma

目的探讨甲状腺癌术前、术中的诊断方法及术后并发症的处理。方法回顾性分析1999年10月至2008年10月年我院经手术和病理证实的106例甲状腺癌诊断和并发症的临床资料。结果术中冰冻切片诊断符合率为97.2%(106/109),显著高于术前B超、CT和细针穿刺细胞学检查,上述三者的正确诊断率分别为25.2%(16/62)、80.1%(24/30)和78.1%(25/32)。术后各种并发症的发生率为14.2%(15/109)。结论术中冰冻病理是诊断甲状腺癌的可靠方法,甲状腺癌手术存在一定的并发症。

Objective To study the diagnosis and treatment of complications of thyriod carcinoma. Methods The data of 106 cases with thyroid carcinoma who were confirmed by operation and pathology in our hospital from October 1999 to October 2008 were reviewed and analysed. Results The diagnostic accordance rate of intraoperative frozen section was 97.2%（106/109）, which was notablely higher than the preoperative B-ultrasound, CT and fine needle aspiration cytology. The diagnostic accuracy of B-ultrasound, CT and fine needle aspiration cytology were 25.2%（16/62）, 80.1%（24/30） and 78.1%（25/32）. Conclusions Intraoperative frozen pathology is a reliable technique in diagnosing thyroid carcinoma. The operation of thyriod carcinoma exist certain complications.