局解手术学杂志Issue(4):427-428,429,3.DOI:10.11659/jjssx.09E014072
HCT患者实施全切术结合131Ⅰ清甲治疗的临床疗效及安全性
Clinical efficacy and safety of total thyroidectomy combined with 131Ⅰradioiodine therapy for patients with hurthle cell thyroid cancer
聂明 1陈志丹2
作者信息
- 1. 随州市曾都医院普外科,湖北 随州441300
- 2. 襄阳市中心医院普一科,湖北 襄阳441021
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy and safety of total thyroidectomy combined with 131Ⅰradioiodine therapy for patients with hurthle cell thyroid cancer(HCT). Methods From January 2001 to January 2013,20 HCT patients in our hospital,who under-went total thyroidectomy combined with 131Ⅰradioiodine therapy. The complications, the thyroid dysfunction and tumor recurrence were ob-served. Results The total efficiency of patients received total thyroidectomy combined with 131Ⅰradioiodine therapy was 100%, with no hoarseness,infection and other complications. And there was no tumor recurrence or death during follow-up. Total thyroidectomy combined with central lymphadenectomy had increased the chance of injury of parathyroid. There was no significant differences of PTH levels between simple thyroidectomy and total thyroidectomy combined with central lymphadenectomy in patients with different stages of treatment in 131Ⅰtreatment (P>0. 05). Conclusion Simple thyroidectomy combined with 131Ⅰradioiodine therapy causes less chance of injury of parathy-roid that restored within a month, which is high safety.关键词
甲状腺嗜酸细胞肿瘤/131Ⅰ清甲治疗/临床疗效/安全性Key words
hurthle cell thyroid tumor/131Ⅰradioiodine therapy/clinical efficacy/safety分类
医药卫生引用本文复制引用
聂明,陈志丹..HCT患者实施全切术结合131Ⅰ清甲治疗的临床疗效及安全性[J].局解手术学杂志,2015,(4):427-428,429,3.