甲状腺癌手术治疗32例.doc:..甲状腺癌手术治疗32例1上海市同仁医院上海200050;2上海交通大学附属第六人民医院外科上海200050【摘要】目的:探讨甲状腺癌的手术方式和治疗的效果。方法:回顾性分析10年来32例甲状腺癌的临床资料;左侧14例,右侧16例,双侧2例。甲状腺乳头状腺癌29例,甲状腺滤泡状腺癌3例。患侧腺叶全切+峡部切除21例,患侧腺叶全切+峡部切除+对侧次全切除6例,双侧甲状腺全切5例。功能性颈淋巴结清扫11例。结果:全组康复良好,经1-10年随访无肿瘤复发或颈淋巴结转移。结论:患侧腺叶全切+峡部切除术是最合适的术式,对有颈淋巴结转移或/和对侧甲状腺叶亦有结节者应作患侧腺叶全切+峡部切除、颈淋巴结清扫和对侧甲状腺次全切除术,对滤泡状腺癌应作双侧甲状腺与峡部全切除术。【关键词】甲状腺癌;手术治疗;颈淋巴结清扫ThyroidectomyforThyroidcarcinomain32cases落Houbaosheng1,Linqingtian2,Jinli1,Denleil1,DepartmentofGeneralSurgery,Shanghaitongrenhospital,ShanghaiRenjiHospitalChangningDistractHospital,Shanghai2000502,DepartmentofGeneralSurgery,theSixthPeople’HospitalaffiliatedtoShanghaiJiaotongUniversity,Shanghai200233[Abstract]Objective::,folliclethyroidcarcinomain3cases,unilateralthyroidectomyandisthmusresectionin21cases,unilateralthyroidectomyandisthmusresectionandoppositesubtotalthyroidectomyin6cases,bilateralthyroidectomy(totalthyroidectomy):Allcaseswererecoverywellandfollowupfor1〜:
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