71例甲状腺癌手术方式临床分析

Clinical analysis of operative methods of 71 cases of thyroid carcinoma

关键词:  甲状腺  甲状腺癌根治术  功能性清扫术

Key words:  thyroid  radical thyroidectomy  functional thyroid clearing operation

摘要:

［目的］ 探讨甲状腺癌合理的手术方式。［方法］ 分析1995～2004年对71例甲状腺癌病人行不同的手术方法，并随访观察。［结果］ 12例行一侧腺叶切除加峡部切除；42例行一侧腺叶、峡部切除加对侧腺叶大部切除；15例行一侧腺叶、峡部、对侧大部加同侧颈淋巴结清扫术；甲状腺全切术1例；1例行一侧次全切除术。随访66例，1例死于复发或转移，其余65例均存活。［结论］ 未分化型的甲状腺癌预后极差，而其他各型的甲状腺癌的治疗应根据病理类型、病期、转移度、年龄综合分析，选择合理的手术方式，多能获得良好的治疗效果。

Abstract:

［Objective］To discuss the rational operative methods of thyroid carcinoma. ［Methods］ Analyzing 71 cases with thyroid car cinoma that have underwent different operative methods and were observed and followed up from 1995 to 2004. ［Results］ Twelve cases were undergone lateral thyroid adenectom 42 cases were underwent lateral thyroid adenectomy, lateral excision of thyroid isthmus and contra-lateral total adenectomy. Fifteen cases were underwent lateral thyroid adenectomy, lateral excision of thyroid isthmus, contra-lateral total adenectomy and homo-lateral jugular lymph node clearing operation. One case was underwent total thyroidectomy and one was underwent lateral subtotal thyroidectomy. Sixty-six cases among the follow-up. One case was died of recurrence or metastasis, the rest were survived till now. ［Conclusions］Undifferentiated thyroid carcinoma had an unfavorable prognosis and other types of thyroid cancer should choose the rational operative methods according to pathological types, periods, metastatic levels, ages and so on. They can get a favorable therapeutic effect.