中国实用外科杂志Issue(1)：114-116,3.DOI:10.7504/CJPS.ISSN1005-2208.2015.01.28
甲状腺乳头状癌中央区淋巴结清扫术后复发临床研究
Clinical study of the recurrence of the central lymph node after central lymph node dissection in papillary thyroid carcinoma
邵堂雷 1周伟 2詹维伟 1杨卫平1
作者信息
- 1. 上海交通大学医学院附属瑞金医院 普外科，上海200025
- 2. 上海交通大学医学院附属瑞金医院 超声诊断科，上海200025
- 折叠
摘要
Abstract
Objective To study the reason of the recurrence of the central lymph node after central lymph node dissection in papillary thyroid carcinoma.Methods The clinical data of 38 cases from January 2011 to December 2013 at our department were analyzed retrospectively.Results All central lymph nodes percured in the second operation were proved with metastasis by pathology in all cases.34 cases (89.7%)of all were located in former right central lymph node area,and 4 cases(10.5%) of all were located in former left central lymph node area.The recurrent central lymph node in right side was located among trachea,right recurrent laryngeal nerve and apex of lung beneath right carotid artery. The recurrent central lymph node in left side was located between trachea and left carotid artery beneath calvicle. The rate of transient vocal hoarseness and permanent recurrent laryngeal nerve injury was 18.4%and 2.6%respectively.The rate of transient hypocalcemia was 15.8%.Conclusion Because of the high injury rate of recurrent laryngeal nerve and parathyroid in the second central lymph node dissection,We suggested that the first central lymph node dissection should be performed thoroughly,especially not leaving out the area among trachea,right recurrent laryngeal nerve and apex of lung beneath the oblique right carotid artery.关键词
甲状腺乳头状癌/中央区淋巴结/复发Key words
papillary thyroid carcinoma/central lymph node/recurrence分类
医药卫生引用本文复制引用
邵堂雷,周伟,詹维伟,杨卫平..甲状腺乳头状癌中央区淋巴结清扫术后复发临床研究[J].中国实用外科杂志,2015,(1):114-116,3.
