中央区淋巴结清扫术治疗甲状腺微小癌的价值

The Value of Central Lymph Node Dissection in the Treatment of Thyroid Microcarcinoma

目的探讨分析中央区淋巴结清扫术治疗甲状腺微小癌的价值。方法选择在本院进行治疗的甲状腺微小癌患者321例,选择时间为2012年1月-2018年4月,所有患者行中央区淋巴结清扫术治疗,分析患者的治疗效果。结果本组321例患者的并发症发生率为1.869%(6例),其中感染1例,出血2例,喉返神经短暂麻痹1例,一过性甲状旁腺功能低下2例。321例中,术后病理证实有180例出现淋巴结转移情况,占比56.1%。随访1-6年无复发。结论通过对甲状腺微小癌患者进行中央区淋巴结清扫术治疗,并发症发生率低,同时发现,中央区淋巴结转移率较高,具有一定的临床使用价值。也同时说明微小癌并不完全等于低危癌。

Objective To analyze the value of central lymph node dissection for the treatment of thyroid microcarcinoma.Methods A total of 321 patients with thyroid microcarcinoma who were treated in our hospital were selected.The patients were selected from January 2012 to April 2018.All patients underwent central lymph node dissection and analyzed the treatment effect.Results The complication rate of 321 patients in this group was 1.869%(6 cases),including 1 case of infection,2 cases of hemorrhage,1 case of transient paralysis of recurrent laryngeal nerve,and 2 cases of transient hypoparathyroidism.In 321 cases Postoperative pathology confirmed that there were 180 cases of lymph node metastasis,accounting for 56.1%.There was no recurrence during follow-up 1-6 years.Conclusion The central tract lymph node dissection for thyroid microcarcinoma patients has a low incidence of complications.It is also found that the central lymph node metastasis rate is high and has a certain clinical value.It also shows that microcarcinoma is not exactly equal to low-risk cancer.