复发性甲状腺癌再次手术56例临床分析

The clinical analysis of 56 cases of recurrent thyroid gland carcinoma who underwent reoperation

目的:探讨复发性甲状腺癌再次手术的手术方式及其影响因素。方法:回顾性分析56例复发性甲状腺癌的临床资料,其中甲状腺乳头状癌38例、滤泡状癌14例及髓样癌4例,对临床疗效及预后进行总结。结果:接受再次手术的患者中,36例病理证实为癌残留(64.3%),颈部淋巴结转移24例(42.9%),术后喉返神经损伤2例(3.6%),甲状旁腺损伤致低钙血症6例(10.7%)。结论:甲状腺癌初次手术的部分腺体残留是术后复发的重要原因,是影响患者生存的重要因素,应采取规范和积极的治疗方式。

Objective：To discuss the operation style and influential factors of the recurrent thyroid gland carcinoma who underwent reoperation. Methods：All 56 cases of recurrent thyroid gland carcinoma clinical data were retrospectively analysed including 38 cases papillary thyroid carcinoma, 14 cases follicular carcinoma,4 cases medullary carcinoma and the clinical effect, prognosis were summarized. Results：All the patients underwent the operation,36 cases showed the pathology of cancer residue（64.3% ） ,24 cases showed the neck lymph node metastasis（42.9% ） ,2 cases the laryngeal recurrent nerve injury（3.6% ） ,6 cases showed the hypocalcemia for the parathyroid gland injury （ 10.7% ）. Conclusion：The gland residue in the thyroid gland carcinoma patients who underwent the first operation is the vital cause that lead to the postoperative recurrence and important factor that influence the patients life quality, the formal and active treating style should be adopted.