摘要
目的:探讨甲状腺癌再次手术的原因、再次手术方式选择及并发症的预防措施。方法:总结2002年3月~2008年11月在我科行甲状腺癌再手术的76例临床资料,并结合文献回顾性分析。结果:首次手术甲状腺癌残留率为28.95%;59例颈清扫患者术后病理证实淋巴结(pN)有转移25例,淋巴结无转移34例,淋巴转移率为42.37%;共有14例发生术后并发症,占18.42%。结论:甲状腺癌局部切除术后癌残留率较高,有选择的手术治疗是必要的;选择恰当的适应证及术式,可以减少癌残留复发。
Objective:To investigate the causes of thyroid cancer reoperation,reoperation mode selection and complication preventive measures. Methods:Clinical data of 76 cases of thyroid cancer reoperation in our department from March of 2002 to November of 2008 were summarized,and were combined with literature reviewed analysis.Results:The residual rate of first operation thyroid cancer was 28.95%;postoperativo pathology of 59 patients with neck dissection operation proved that 25 cases had metastasis of lymph node (pN),34 cases had no lymph node metastasis,the lymphatic metastasis rate was 42.37%;a total of 14 cases had postoperative complications,accounting for 18.42%.Conclusion:The postoperative cancer residual rate of thyroid cancer local excision was higher,selective surgery treatment is necessary;and suitable selection of indications and surgical mode can reduce the residual cancer recurrence.
出处
《中国医药导刊》
2010年第12期2030-2031,共2页
Chinese Journal of Medicinal Guide