分化型甲状腺癌诊治分析

Diagnosis and Treatment of Differentiated Thyroid Cancer

目的探讨分化型甲状腺癌的诊断及治疗方法。方法对河南宏力医院2006年12月—2009年12月3年间手术治疗的98例分化型甲状腺癌患者的临床资料进行回顾性分析。结果术前均行B超检查,拟诊为甲状腺癌70例(70/98),行术中冰冻切片检查98例,诊断甲状腺癌90例,阳性率为92%。98例患者均行手术治疗,无手术死亡病例,术后恢复好。结论彩超检查提示甲状腺结节内微钙化灶对甲状腺癌的术前诊断有重要提示意义,发现淋巴结肿大亦可作为是否行颈淋巴结清扫的指征之一。术中冰冻切片检查是确诊甲状腺癌的最佳方法。患叶加峡部和对侧大部切除是甲状腺癌的主要手术方式。

Objective To investigate the differentiated thyroid cancer diagnosis and treatment.Methods The hospital in December 2006～2009 on December 3 years 98 cases of surgical treatment of patients with differentiated thyroid cancer were retrospectively analyzed.Results The patients underwent B-mode ultrasound for the thyroid cancer diagnosed 70 cases （71.4%）,intraoperative frozen section examination of 98 cases,90 cases of thyroid cancer,the positive rate was 92%.98 patients underwent surgical treatment,no operative deaths,postoperative recovery was good.Conclusion Color Doppler examinations showed micro-calcification within the thyroid nodule on the preoperative diagnosis of thyroid cancer has important tips significance,as it can be found in lymph nodes neck dissection is one of the indications.Intraoperative frozen section diagnosis of thyroid cancer is the best way.Diseased leaf＋isthmus＋contralateral subtotal thyroid cancer is a major surgical procedure.