25例甲状腺癌手术治疗分析

Clinical Analysis of Operative Treatment of 25 Cases of Thyroid Carcinoma

目的探讨甲状腺癌手术治疗的临床效果。方法回顾性分析我院2008年6月至2010年8月间收治的25例行手术治疗的甲状腺癌患者的临床资料。结果患者中有7例行一侧腺叶切除加峡部切除术,11例行一侧腺叶、峡部切除加对侧腺叶大部切除术,5例行一侧腺叶、峡部、对侧大部切除加同侧颈淋巴结清扫术,2例行甲状腺全切术。患者术后全部随访一年以上,有2例死于复发或转移,其余23例全部存活。结论未分化型甲状腺癌预后效果差,而其他类型在综合分析患者年龄、病理类型、病程以及转移度的基础上,选择合理的手术方式,可获得良好的疗效。

Objective To discuss the clinical effect of operative treatment of 25 cases of thyroid carcinoma.Methods 25 cases of patients with thyroid carcinoma in our hospital from Jun 2008 to Aug 2010 were analyzed and discussed retrospectively.Results 7 patients were undergone with lateral thyroid adenectomy and excision of thyroid isthmus,11 patients were undergone with lateral thyroid adenectomy,lateral excision of thyroid isthmus and contra lateral most thyroid adenectomy.5 patients were undergone with lateral thyroid adenectomy,lateral excision of thyroid isthmus,contra most thyroid adenectomy and homo lateral jugular lymph node clearing operation.2 cases were undergone with total thyroidectomy.After the treatment,all the cases were followed-up for more than a year.2 cases died of recurrence or metastasia.All the other 23 cases survived.Conclusion Undifferentiated thyroid carcinoma has unfavorable prognoses.To achieve a favorable therapeutic effect,the rational operative methods shall be choosened on the basis of comprehensive analysis of patients＇ ages,pathological types,periods,metastatic levels and other factors.