分化型甲状腺癌腺叶切除研究综述

A review of studies on lobectomy of differentiated thyroid cancer

甲状腺癌的发生率呈逐年上升趋势,因其早期临床症状、表现不明显,临床诊疗难度较大,一旦发展至晚期则需进行手术治疗。常见的手术方式有甲状腺全切除术、甲状腺腺叶切除术及甲状腺次全切除术。甲状腺腺叶切除术的优点是手术并发症风险较低,对甲状腺激素替代疗法的需求较少。然而,这种方法并非适用于所有甲状腺癌患者,因此必须谨慎选择合适的甲状腺癌患者。本文针对甲状腺叶切除术对未分化型甲状腺癌的利弊进行综述研究。

The incidence of thyroid cancer is increasing year by year.Because of its early clinical symptoms and unobvious manifestations,clinical diagnosis and treatment are difficult.Once it develops to an advanced stage,surgical treatment is required.Common surgical methods include total thyroidectomy,thyroid lobectomy and subtotal thyroidectomy.The advantages of thyroid lobectomy are that the risk of surgical complications is lower and there is less demand for thyroid hormone replacement therapy.However,this method is not suitable for all patients with thyroid cancer,so the appropriate patients with thyroid cancer must be carefully selected.This article reviews the pros and cons of thyroid lobectomy for undifferentiated thyroid cancer.