甲状腺乳头状癌术后并发症分析

Postoperative complications related to papillary thyroid carcinoma

目的 探讨甲状腺乳头状癌术后并发症的发生原因及其预防措施.方法 对2012年7月至2013年7月在郑州大学第一附属医院甲状腺外科行手术治疗的358例甲状腺乳头状癌患者的临床资料进行综合分析.结果 全甲状腺切除、有甲状腺手术史、肿瘤有腺外侵犯的患者术后并发症发生率分别高于单侧甲状腺腺叶切除、首次手术、无腺外侵犯者（P＜0.05）.结论 全甲状腺切除、甲状腺手术史及肿瘤腺外侵犯是甲状腺乳头状癌术后并发症发生的危险因素.术者应提高手术技巧,术中应尽量精细化操作以减少术后并发症的发生。

Objective To analyze the causes and prevention of postoperative complications related to papillary thyroid carcinoma.Methods The clinical data of 358 patients with papillary thyroid carcinoma who were operated by the surgeons in the first affiliated hospital of Zhengzhou wiversity from July 2012 to July 2013 were analyzed.Results The incidence of postoperative complications in patients with total thyroid resection,thyroid operation history,extraglandular invasion was higher respectively than that with hemithyroidectomy,the first operation,no extraglandular invasion（P 〈 0.05）.Conclusions Total thyroidectomy,thyroid gland operation history and extraglandular invasion were risk factors of postoperateive complications related to papillary thyroid carcinoma.The surgeons should improve the operation skills and operate very carrefully to reduce the incidence of postoperative complications.