分化型甲状腺癌手术治疗的效果

Efficacy of surgery on differentiated thyroid cancer

目的 探讨分化型甲状腺癌手术治疗的效果. 方法 选择2009年6月至2014年6月甲状腺癌患者64例,回顾性分析其临床资料. 根据甲状腺切除范围与颈部淋巴结清扫情况选择合适的手术治疗方法处理,总结临床疗效. 结果 64例患者手术处理方法包括32例一侧甲状腺叶＋峡部切除术,29例行颈部淋巴结清扫＋根治术,3例行姑息性手术. 64例患者在手术治疗期间皆无死亡患者,术后5年死亡率为6.25%,存活率为93.75%.结论 分化型甲状腺癌患者若存在颈部淋巴结肿大,则建议采取选择性或治疗性颈部淋巴结清扫术联合根治术处理,而无颈部淋巴结肿大,则建议予以一侧甲状腺叶＋峡部切除术处理,方能取得较好的效果.

Objective To investigate the efficacy of surgery on differentiated thyroid cancer .Methods From June 2009 to June 2014, 64 patients with thyroid cancer were selected , and their clinical data were analyzed retrospective-ly.Based on the scope of thyroidectomy and neck dissection , the right approach of surgical treatment were chosen and to summarize the clinical efficacy .Results Among the 64 patients , 32 cases were treated surgical treatment of thyroid lobe ＋side of the isthmus resection , 29 cases received cervical lymph node dissection ＋radical mastectomy , three cases of pallia-tive surgery.No patients died during the surgery ,the postoperative 5-year mortality rate was 6.25% and survival rate was 93.75%.Conclusions Differentiated thyroid cancer , if has cervical lymphadenopathy , it is recommended to take a selec-tive or therapeutic neck dissection combined with radical surgery treatment .If there is no neck lymph nodes , it is proposed to be the side of the isthmus of the thyroid lobe resection ＋surgical treatment , for obtain better results .