分化型甲状腺癌手术治疗的临床分析

Clinical analysis of surgical therapy in differentiated thyroid cancer

目的：探讨分化型甲状腺癌手术的治疗方法。方法回顾性分析我院2011年1月~2013年12月期间收治的82例分化型甲状腺癌患者的临床病例资料，从甲状腺的切除范围和颈部淋巴结的清除情况探讨分化型甲状腺癌的治疗方法。结果82例患者中，单侧甲状腺癌患者25例，双侧甲状腺癌患者35例；并淋巴结转移患者22例（单侧16例、双侧6例）。双侧甲状腺癌患者均采用甲状腺全切或近全切除；单侧甲状腺癌患者采用单侧甲状腺叶＋峡部切除术；合并淋巴结转移者行甲状腺切除＋颈部淋巴结切除。术后患者出现并发症较少，发生率为3.66%。术后随访1~10年，仅1例患者于术后第4年死亡。结论对于分化型甲状腺癌患者的治疗，需根据患者具体患病情况采取不同的手术方法，同时术后需给予患者口服甲状腺激素治疗。

Objective To investigate the treatment of differentiated thyroid cancer surgery. Methods Retrospective ana-lyzed the clinical data in our hospital from January 2011 to December 2013, 82 cases of patients with differentiated thyroid cancer from the thyroid and neck lymph node resection removals, and investigated the treatment of differentiat-ed thyroid cancer. Results Among 82 patients with differentiated thyroid cancer, 25 patients with unilateral thyroid cancer, 35 patients with bilateral, and lymph node metastasis in 22 patients （16 cases of unilateral, bilateral 6 cases）. Bilateral thyroid cancer patients were treated with total thyroidectomy or near total resection; Unilateral thyroid cancer patients with unilateral thyroid lobe ＋ isthmus resection; The patients after surgery with fewer postoperative complica-tions, the incidence rate was 3.66%. After 1 to 10 years of follow-up, only one patient died in the forth year after surgery. Conclusion For patients with differentiated thyroid cancer treatment, need to take a different surgical tech-niques based on patient specific prevalence, and give patients after oral thyroid hormone therapy.