摘要
目的探讨结节性甲状腺肿合并甲状腺癌的临床外科治疗方式和效果。方法回顾性分析经手术治疗后随访5年以上的35例结节性甲状腺肿合并甲状腺癌患者的临床资料。结果 35例患者均行手术治疗,术后经组织病理学检查确诊为甲状腺癌。其中乳头状癌26例(74.29%),滤泡样癌5例(14.29%),未分化癌2例(5.71%),髓样癌2例(5.71%)。伴有区域淋巴结转移8例(22.86%),肿瘤浸润包膜16例(45.71%),其中侵出包膜外6例(37.5%)。此外,其中喉上神经损伤1例,喉返神经损伤2例。结论根据患者的病情,采取细针穿刺、合理的手术方式、术中冷冻切片检查,避免误诊误切,慎重行甲状腺全切术,术后甲状腺素替代治疗可避免疾病复发。
Objective To investigate the clinical treatment and effect of the nodular strumous merger thyroid cancer.Methods The clinical data of 35 patients with tuberous strumous merger thyroid carcinoma by surgery after 5 years of follow-up was retrospectively analyzed.Results The 35 patients after surgery,and histopathological examination confirmed for thyroid carcinoma.26 cases of papillary carcinoma（74.29%）,follicular carcinoma in 5 patients（14.29%）,2 cases of casesanaplastic carcinoma（5.71%）,2 cases of medullary cancer（5.71%）.8 cases with regional lymph node metastasis（22.86%）,tumor infiltration coated in 16 cases（45.71%）,including the capsule emplaced in 6 cases（37.5%）.In addition,1 case with recurrent laryngeal nerve and 2 cases nervus laryngeus superior injury.Conclusion According to the patient,taking fine needle aspiration biopsy,reasonable operation mode,intraoperative frozen biopsies to avoid misdiagnosis and mistake carefully cut,and thyroid hormone replacement therapy in post-operation,can avoid disease recurrence.
出处
《哈尔滨医药》
2010年第5期1-1,3,共2页
Harbin Medical Journal
