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双侧甲状腺癌外科诊治分析

廖信芳 杨清水 朱应昌

国际医药卫生导报2011,Vol.17Issue(10):1171-1173,3.
国际医药卫生导报2011,Vol.17Issue(10):1171-1173,3.DOI:10.3760/cma.j.issn.1007-1245.2011.10.006

双侧甲状腺癌外科诊治分析

Diagnostic analysis on surgical treatment to bilateral thyroid carcinoma

廖信芳 1杨清水 1朱应昌1

作者信息

  • 1. 528200,佛山,南方医科大学附属南海人民医院普外科
  • 折叠

摘要

Abstract

Objective To evaluate the bilateral thyroid carcinoma diagnosis and surgical treatment.Methods The clinical data of 36 cases of bilateral thyroid carcinoma of surgical treatment was retrospectively analyzed.Results All cases were confirmed as bilateral thyroid carcinoma by paraffin section post-operatively.11 cases had metastasis in bilateral lymph nodes,and 21 cases with metastasis in unilateral lymph nodes.No permanent hypo-parathyroidism or facial edema occurred.Other postoperative complications included recurrent laryngeal nerve paralysis which was resolved 2 weeks later in 4 cases,lymphatic fistula in 1 case.36 cases were followed up from 4 months to 10 years post-operatively,with tumor-free survival in 24 cases,and cervical lymph node metastasis in 4 cases and death in 3 cases.Conclusion Total thyroidectomy is advised for bilateral thyroid carcinoma.It is necessary to emphasize the importance of functional radical neck dissection in non-microcarcinoma.

关键词

双侧/甲状腺癌/功能性颈淋巴结清扫术

Key words

Bilateral/Thyroid carcinoma/Functional Radical neck dissection

引用本文复制引用

廖信芳,杨清水,朱应昌..双侧甲状腺癌外科诊治分析[J].国际医药卫生导报,2011,17(10):1171-1173,3.

国际医药卫生导报

1007-1245

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