甲状腺乳头状癌的外科手术治疗分析

Analysis on Surgical Treatment of Papillary Thyroid Carcinoma

目的探讨甲状腺乳头状癌手术治疗的临床疗效。方法对该院收治的65例甲状腺乳头状癌患者的临床资料进行回顾性分析,对不同患者行患侧腺叶及峡部切除,对侧部分切除＋一侧中央区淋巴结清扫术,全甲状腺切除＋一侧中央区淋巴结清扫术,功能性颈部淋巴结清扫术。结果所有患者均顺利完成手术。但出现手术并发症者6例（暂时性声音嘶哑2例,呛咳、误咽1例,暂时性甲状旁腺功能减低3例）。随访1~4年后,5例复发。结论手术治疗甲状腺乳头状癌并发症较少,4年复发率低,治疗效果良好。

Objective To investigate the surgical treatment of thyroid nodules＇ clinical efficacy. Methods In our hospital, 65 cases of papillary thyroid carcinoma in patients with clinical data were retrospectively analyzed, patients with ipsilateral lobe and isthmus are resected, contralateral resection and side of the central lymph node dissection, total thyroidectomy and side of the central lymph node dissection,and functional neck lymph node dissection.Results All patients were successfully operated. But surgical complications is in 6 cases. （transient voice hoarse with surgical complications is in 2 cases; choking, swallowing one cases;and temporary parathyroid function to reduce the three cases）.1-4 years of follow-up, five cases are recurrence.Conclusion Surgical treatment of papillary thyroid carcinoma is fewer complications, 4-year recurrence rate is low, and treatment is well.