甲状腺癌的外科治疗体会

Experience of surgical treatment of thyroid carcinoma

目的探讨甲状腺癌外科手术治疗的方式、效果及预后。方法回顾性分析2000年2月至2010年2月六安市第二人民医院普外科收治的41例甲状腺癌患者的临床资料。结果 41例甲状腺癌中乳头状腺癌33例,滤泡状腺癌5例,髓样癌2例,未分化癌1例,均行手术治疗,术中冰冻及术后病理明确诊断,其中甲状腺微小癌6例为乳头状癌,术后随访时间1-5年,33例乳头状腺癌及5例滤泡状腺癌生活良好,1例髓样癌手术后一年死亡,1例未分化癌手术后6个月死亡。结论甲状腺癌早期诊断、早期治疗、规范手术范围决定了患者预后,同时应加强术后的后续治疗。

Objective To investigate the way,the effect and the prognosis of surgical treatment of thyroid carcinoma.Methods The clinical data of 41 patients with thyroid cancer at the general surgery of the second Hospital of Lu＇an from February 2000 to February 2010 were analysed retrospectively.Results This 41 cases,33 of papillary thyroid carcinoma,5 of follicular thyroid carcinoma,2 of medullary thyroid carcinoma,1 of anaplastic carcinoma were treated with operation and confirmed by the intraoperative frozen section examinations and post-operative pathology.6 cases of thyroid microcarcinoma were papillary adenocarcinoma.The follow-up time after operation was from 1～5 years.33 cases of papillary adenocarcinoma and 5 cases of follicularadenocarcinoma have survived well.After surgery,1 patient of medullary thyroid carcinoma died 1 year later and one patient of anaplastic carcinoma died 6 months later.Conclusion The prognosis of a patient with thyroid carcinoma depends on early diagnosis and therapy,standardized surgical extent,the post-operative followup treatment shoud be strengthened simultaneously.