甲状腺微小乳头状癌手术126例体会

发布时间：2018-03-19 00:19

  本文选题：甲状腺腺叶切除术　切入点：颈淋巴结清扫术　出处：《中国微创外科杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的探讨甲状腺微小乳头状癌手术的治疗方法。方法 2015年1月~2016年5月,我科收治甲状腺微小癌126例,行患侧加峡部切除或甲状腺全切除术及中央区淋巴结清扫术,中央区淋巴结转移者行同侧选择性区域淋巴结清扫术。统计手术并发症、术后病理及恢复情况。结果发现隐匿性多发癌4例;术中证实中央区转移45例(35.7%),行横行小切口侧颈区选择性区域淋巴结清扫术(清扫Ⅱ、Ⅲ、Ⅳ、部分Ⅴ区),术后病理侧颈区淋巴结转移23例。术后声音嘶哑3例,饮水呛咳2例,短暂性低钙血症15例(均为甲状腺全切除术后),术后乳糜淋巴漏4例(均为侧颈区淋巴结清扫术后)。无术后切口出血导致再次手术。结论甲状腺微小癌具有较高的中央区淋巴结转移率,中央区淋巴结转移者侧颈区淋巴结转移率高,建议对甲状腺微小癌行常规小切口甲状腺全切除及选择性区域淋巴结清扫术。
[Abstract]:Objective to investigate the treatment of thyroid micropapillary carcinoma from January 2015 to May 2016. Methods from January 2015 to May 2016, 126 cases of thyroid microcarcinoma were treated by resection of the affected side plus isthmus, total thyroidectomy and central lymph node dissection. Patients with central lymph node metastasis underwent ipsilateral selective regional lymph node dissection. 45 cases of central region metastasis were confirmed during the operation. Selective regional lymph node dissection (鈪，

本文编号：1631989