摘要
目的 评价患侧腺叶加峡部切除术治疗甲状腺单发结节的临床合理性与安全性。方法 回顾性分析 75 0例甲状腺单发结节行患侧腺叶加峡部切除术的治疗效果。结果 75 0例中 ,甲状腺单发结节经病理组织学证实良性病变 60 4例 ,恶性病变 14 6例。术后均未出现甲状腺功能低下。 690例获随访 ,随访率达 92 % ,随访时间为 6个月～ 10年 ,其中良性病变 5 5 0例均存活。恶性病变随访 14 0例 ,5年生存率达 90 % ( 12 6/14 0 ) ,10年生存率达 78% ( 10 9/14 0 )。结论 甲状腺患侧腺叶加峡部切除术是治疗甲状腺单发结节的安全、有效的理想术式。
Objective: To evaluate the feasibilty and safety of unilateral lobe with isthmus resection for thyroid solitary nodule. Methods: The results of unilateral lobe with isthmus resection for the solitary nodule in 750 cases from June 1984 to June 2001 were retrospectively analyzed. Results: Histopathological examination found 604 cases with benign tumor and the other 146 cases with carcinoma. Hypothroidism was not encountered in all the patients. Postoperative follow-up was adopted in 690 cases and follow-up rate was 92%. The follow-up period was from 6 mouths to 10 years, the follow-up 550 cases with benign tumor survived. 140 cases with carcinoma were followed up. 5-year-survival rate and 10 were 90%(126/140) and 78%(109/140) respectively. Conclusions: Unilateral lobe with isthmus resection is safe and efficient for treating thyroid solitary thyroid nodule.
出处
《实用临床医药杂志》
CAS
2004年第3期29-31,共3页
Journal of Clinical Medicine in Practice
