结节性甲状腺肿合并甲状腺癌的外科手术治疗

发布时间：2018-05-21 20:03

本文选题：结节性甲状腺肿 + 甲状腺癌　；参考：《中华肿瘤防治杂志》2016年S2期

【摘要】：目的综合分析结节性甲状腺肿合并甲状腺癌的外科手术治疗价值,为治疗结节性甲状腺肿合并甲状腺癌患者提供科学的数据参考。方法选取云浮市人民医院2013-03-2015-02收治的结节性甲状腺肿合并甲状腺癌患者临床资料45例作为研究对象,再选取同期我院收治的结节性甲状腺肿350例临床资料作为研究对象,在患者知晓情况下参与本次实验研究,采用SPSS 20.0统计学软件进行统计学分析45例结节性甲状腺肿合并甲状腺癌患者的临床治疗效果且进行1~3年随访。结果结节性甲状腺肿合并甲状腺癌中结节钙化发生例数为20例,占44.44%;结节性甲状腺肿中结节钙化发生例数为48例,占13.71%,两组钙化结节发生率数据比较差异有统计学意义,P0.05;45例结节性甲状腺肿合并甲状腺癌患者均得到病理确诊,均实施外科手术,其中有3例行甲状腺全切除及患侧功能性颈淋巴结清除术、16例行患侧腺叶全切、峡部切除、对侧甲状腺次全切除及患侧功能性颈淋巴结清除术、18例行患侧腺叶全切、峡部切除、对侧甲状腺次全切除、8例行患侧全切除、峡部切除术。结论精确的疾病分期和复发风险评估,使甲状腺手术、淋巴结清除方式更为精准,更符合最新诊治指南的要求,可最大程度上保留腺体功能,提高甲状腺癌患者的生存质量。
[Abstract]:Objective to analyze the value of surgical treatment of nodular goiter with thyroid carcinoma and to provide scientific data for the treatment of nodular goiter with thyroid carcinoma. Methods the clinical data of 45 patients with nodular goiter complicated with thyroid carcinoma admitted in Yunfu people's Hospital 2013-03-2015-02 were selected as the study object, and 350 cases of nodular goiter treated in the same period were selected as the study object. In this study, 45 patients with nodular goiter complicated with thyroid carcinoma were analyzed by SPSS 20.0 software and followed up for 1 ~ 3 years. Results there were 20 cases of nodular calcification in nodular goiter complicated with thyroid carcinoma (44.44%) and 48 cases of nodular calcification in nodular goiter. The incidence of calcified nodules in the two groups was significantly higher than that in the control group (P 0.05). All 45 patients with nodular goiter complicated with thyroid carcinoma were confirmed by pathology and underwent surgery. Among them, 3 cases underwent total thyroidectomy and 16 cases underwent total resection of the affected side of the neck, 16 cases underwent total resection of the affected side of the gland, 16 cases underwent isthrectomy, 18 cases underwent total resection of the affected side of the thyroid gland and 18 cases of the ipsilateral functional cervical lymph node dissection, 18 cases underwent total resection of the affected side of the cervical lymph node. The contralateral subtotal thyroidectomy was performed in 8 patients with total thyroidectomy and isthmus resection. Conclusion accurate staging and risk assessment of recurrence can make thyroid surgery and lymph node clearance more accurate and meet the requirements of the latest guidelines for diagnosis and treatment. It can preserve the function of glands and improve the quality of life of thyroid cancer patients.
【作者单位】：云浮市人民医院普通外科;
【分类号】：R736.1;R653

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