论文部分内容阅读
目的:探讨甲状腺微小癌不同手术方式治疗对患者临床疗效及预后的影响。方法:回顾性分析永嘉县人民医院普外科和浙江大学附属第一医院肿瘤外科2008年1月-2012年10月共收治的162例甲状腺微小癌的临床资料、手术方式、随访结果情况。结果:对甲状腺微小癌行不同手术方式治疗对患者生存率无明显影响,但我们发现对复发、转移、无瘤生存有一定的关系。首次行患侧腺叶全切+峡部切除+中央区淋巴结清扫组与功能性颈淋巴结清扫组疗效相仿,5年无瘤生存率为100%。而其他相对术式5年无瘤生存率为67.8%。结论:甲状腺患侧腺叶全切+峡部切除+中央区淋巴结清扫对甲状腺微小癌治疗效果相对其他术式满意,可作为规范术式推广。
Objective: To investigate the effect of different surgical methods on the clinical efficacy and prognosis of thyroid microcarcinoma. Methods: A retrospective analysis of clinical data, surgical procedures and follow-up results of 162 cases of thyroid microcarcinoma admitted to Department of General Surgery, Yongjia People’s Hospital and the First Affiliated Hospital of Zhejiang University from January 2008 to October 2012 were retrospectively analyzed. Results: The treatment of thyroid microcarcinoma with different surgical methods had no significant effect on the survival rate of patients, but we found a certain relationship between recurrence, metastasis and disease-free survival. The first line of ipsilateral lobectomy + isthmic resection + central lymph node dissection group and functional cervical lymph node dissection group similar efficacy, 5-year disease-free survival rate was 100%. The other relative operation 5-year disease-free survival rate was 67.8%. Conclusion: The total thyroidectomy gland lobectomy + isthmic resection + central lymph node dissection of thyroid microcarcinoma treatment effect is satisfactory compared with other surgical procedures, can be used as a standard surgical promotion.