摘要
目的 探讨临床颈淋巴结阴性（cN0）分化型甲状腺癌患者颈淋巴结清扫的范围.方法 结合文献回顾性分析106例cN0期分化型甲状腺癌患者中央组淋巴结清扫术的临床资料评价其疗效.结果 28例双侧甲状腺全切除患者术后20～48 h内出现面、手足麻木或抽搐,经补钙后症状缓解.1例术后14个月出现同侧颈部V区淋巴结肿大,针吸细胞学检查示颈部淋巴结见可疑异型细胞,再行功能性颈淋巴结清扫术,病理证实为淋巴结炎性肿大.全组患者获得6～66个月的随访,未发现颈部淋巴结转移,目前均健康存活.结论 中央组淋巴结清扫术创伤小,安全可靠,术后患者生活质量改善,用于cN0分化型甲状腺癌患者是可行的.
Objective To discuss the range of the lymph node dissection in differentiated thyroid carcinoma at the stage of cN0. Methods Retrospective analysis of 106 patients with differentiated thyroid cancer at the stage of cN0 that had undergone lymph node dissection of central group, explore the range of the cervical lymph node dissection in thyroid carcinoma with literature. Results Followed up from 6 months to 66 months postop eratively, no patient recurred. Conclusions Preliminary analysis showed that, applied to lymph node dissection of central group in differentiated thyroid carcinoma at the stage of cN0 is safe and feasible.
出处
《中国肿瘤外科杂志》
CAS
2010年第6期351-353,共3页
Chinese Journal of Surgical Oncology
关键词
中央组淋巴结清扫术
分化型甲状腺癌
颈淋巴结阴性
淋巴结清扫范围
central lymph node dissection
differentiated thyroid carcinoma
neck lymph node negative
range of lymph node dissection
