甲状腺癌再手术76例临床分析

Clinical Analysis on 76 Cases with Thyroid Cancer Reoperation

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.