颈淋巴结清扫术易遗漏转移淋巴结部位及其对策
发布时间：2018-11-05 14:29
【摘要】：甲状腺乳头状癌颈淋巴结转移较常见,规范的颈淋巴结清扫术有利于降低局部复发率及再手术率并改善病人预后。然而由于颈部解剖结构复杂,如果术前评估不仔细,清扫范围不规范,手术操作不熟练,某些部位的转移淋巴结容易在手术中被遗漏而导致残留。其中,位置较低的中央区淋巴结、右侧喉返神经深面淋巴结、Ⅱb区淋巴结、位置深在的Ⅳ区淋巴结、Ⅴ区淋巴结、颈丛神经根间淋巴结、胸锁乳突肌-胸骨舌骨肌间淋巴结和咽旁淋巴结是行颈淋巴结清扫术时容易被遗漏的转移部位,而颈部增强CT扫描有利于术前转移淋巴结的评估。熟悉容易遗漏的转移淋巴结部位、准确的术前评估、规范的清扫范围和娴熟的手术技巧是减少颈淋巴结清扫术转移淋巴结残留的关键。
[Abstract]:Cervical lymph node metastasis is more common in papillary thyroid carcinoma. Standard cervical lymph node dissection is helpful to reduce the local recurrence rate and reoperation rate and improve the prognosis of the patients. However, because of the complex anatomical structure of the neck, if the preoperative evaluation is not careful, the scope of dissection is not standardized, and the operation is not skilled, the metastatic lymph nodes of some parts are easily left out in the operation and lead to residual. Among them, the lower central lymph nodes, the right deep recurrent laryngeal nerve lymph nodes, the 鈪，
本文编号：2312366
[Abstract]:Cervical lymph node metastasis is more common in papillary thyroid carcinoma. Standard cervical lymph node dissection is helpful to reduce the local recurrence rate and reoperation rate and improve the prognosis of the patients. However, because of the complex anatomical structure of the neck, if the preoperative evaluation is not careful, the scope of dissection is not standardized, and the operation is not skilled, the metastatic lymph nodes of some parts are easily left out in the operation and lead to residual. Among them, the lower central lymph nodes, the right deep recurrent laryngeal nerve lymph nodes, the 鈪，
本文编号：2312366
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