局部进展期分化型甲状腺癌外科治疗术式选择

Selection of surgical procedures for locally advanced differentiated thyroid cancer

局部进展期分化型甲状腺癌是病人发生呼吸道梗阻、致命性大出血的主要原因。彻底切除肿瘤是局部进展期分化型甲状腺癌获得良好预后的基础,即使有喉、气管、食管、喉返神经等受侵,根治性或姑息性切除病灶后病人仍能长期生存。外科治疗术式选择的关键在于根治肿瘤的同时尽可能保留上呼吸道和消化道的功能。术前应完善相关辅助检查,充分了解病灶性质及范围,以便采取更合理的手术方式和综合治疗模式。

Locally advanced differentiated thyroid cancer is the leading cause of respiratory obstruction and fatal massive bleeding in patients.Thorough resection of the tumor is the basis for a good prognosis of locally advanced differentiated thyroid cancer.Even if there is the invasion of the larynx,trachea,esophagus,recurrent laryngeal nerve,the patient can still survive for a long time after radical or palliative tumor resection.The key to selecting surgical procedures is to preserve the function of the upper respiratory tract and digestive tract as much as possible while eradicating tumors.Relevant imaging examinations should be conducted before surgery to fully understand the nature and scope of the lesion to adopt more reasonable surgical methods and comprehensive treatment modes.