56例甲状腺癌患者的临床治疗分析

Clinical Analysis of 56 Patients With Thyroid Carcinoma

目的分析甲状腺癌的外科治疗。方法选择我院收治的56例甲状腺癌患者的临床资料开展回顾性分析。结果术中采用常规快速冷冻切片病理诊断,术后常规病理切片确诊,术中和术后诊断不符的患者为4例;扩大甲状腺全切4例,甲状腺全切16例,腺叶加峡部全部切除10例,单侧腺叶、峡部、加对侧腺叶大部分切除术14例,肿物局部切除患者2例,双侧颈切除术10例,单侧颈切除术6例,无死亡病例,术后声音嘶哑2例,抽搐患者为4例,甲状腺全切患者常规甲状腺素代替治疗。结论手术中采用冷冻切片化验病理检查对甲状腺癌的诊断和手术方式选择有着十分重要的作用。手术范围的确认需要充分考虑癌症的病灶范围。

Objective Surgical treatment of thyroid cancer. Methods The clinical data of 56 patients with thyroid carcinoma treated in oar hospital were retrospectively analyzed. Results Routine frozen section pathological diagnosis was performed in routine pathological section, diagnosed after surgery, intraoperative and postoperative diagnosis of 4 cases of patients were inconsistent; expand the total thyroidectomy in 4 cases, total thyroidectomy in 16 cases, all lobe with isthmus resection in 10 cases, unilateral lobe, isthmus, and contralatera! lobe most 14 cases of tumor resection, local resection in 2 cases, bilateral neck resection in 10 cases, unilateral carotid resection in 6 cases, no death cases, 2 cases of postoperative hoarseness, seizures in 4 cases, total thyroidectomy in patients with normal thyroid hormone replacement therapy. Conclusion The pathological examination of frozen section is very important to the diagnosis of thyroid carcinoma and the choice of operative method. The scope of the surgery needs to be fully considered in the scope of cancer.