中国实用外科杂志2017，Vol.37Issue(9)：965-970,6.DOI:10.19538/j.cjps.issn1005-2208.2017.09.09
颈淋巴结清扫术易遗漏转移淋巴结部位及其对策
Location and prevention of easily missed metastatic lymph node in cervical lymph node dissection
张浩 1孙威1
作者信息
- 1. 中国医科大学附属第一医院甲状腺外科,辽宁沈阳110001
- 折叠
摘要
Abstract
Cervical lymph node metastasis is common in papillary thyroid carcinoma (PTC).Standard cervical lymph node dissection is helpful to reduce local recurrence rate,reoperation rate and improve the prognosis for PTC patients.However,the anatomical structure of the neck is complicated.Metastatic lymph node is easily missed during surgery without careful preoperation evaluation,standard dissection extent and skilled surgery technique resulting in the lymph node residual.Lower central lymph node,lymph node posterior to right recurrent laryngeal nerve,level Ⅱ b,deeper lymph node of level Ⅳ,level Ⅴ,lymph node between nerve root intersection,lymph node between sternocleidomastoid and sternohyoid muscle and pharyngeal lymph node are the most common missed locations during cervical lymph node dissection.Preoperative enhanced CT is helpful for the diagnosis and localization of metastatic lymph node.Familiar with the location of missed metastatic lymph node,accurate preoperation evaluation,standard dissection extent and skilled surgery technique are the key points avoiding lymph node residual during cervical metastatic lymph node dissection.关键词
甲状腺肿瘤/乳头状癌/颈淋巴结清扫/转移Key words
thyroid neoplasms/papillary carcinoma/neck dissection/metastasis分类
医药卫生引用本文复制引用
张浩,孙威..颈淋巴结清扫术易遗漏转移淋巴结部位及其对策[J].中国实用外科杂志,2017,37(9):965-970,6.
