摘要
目的 :探讨研究微小型甲状腺癌的临床诊治特点。方法 :对 1992年 5月至 2 0 0 2年 3月收治的 31例微小型甲状腺癌患者的资料进行回顾性分析。结果 :共行单侧甲状腺腺叶加峡部切除术 2 2例 ;双侧甲状腺次全切除术 3例 ;单侧腺叶、峡部切除术加同侧颈淋巴结清扫术 5例 ;双侧甲状腺次全切除加淋巴结清扫 1例。全组 31例无手术死亡和术后并发症。结论 :甲状腺腺叶加峡部切除是微小型甲状腺癌手术治疗较理想的术式 ;有淋巴结转移者同时行功能性颈部淋巴结清扫术。
Aim: To study the characteristics for the diagnosis and treatment of thyroid microcarcinoma (TMC). Methods: A total of 31 cases of TMC undergoing surgical treatment in our hospital from May 1993 to March 2002 were reviewed retrospectively. Results: Total resection of the affected lobe and isthmus was performed in 22 cases.Subtotal thyroidectomy was performed in 3 cases. Total resection of the affected lobe, isthmus and neck dissection was performed in 5 cases. There was no mortality in operation or postoperative complication. Conclusions: Total thyroidectomy of a lobe is a better therapy of choice. Neck lymph node excision should be taken if there is local infiltration or if neck lymph node is palpable.
出处
《郑州大学学报(医学版)》
CAS
北大核心
2002年第4期413-415,共3页
Journal of Zhengzhou University(Medical Sciences)
基金
河南省科技攻关资助项目 199932 0 0 0 9