实用临床医药杂志2018,Vol.22Issue(3):63-65,3.DOI:10.7619/jcmp.201803017
中央淋巴结清扫术治疗分化型甲状腺癌的临床疗效及预后分析
Effect of central lymph node dissection on the clinical efficacy and prognosis in treating differentiated thyroid carcinoma patients
摘要
Abstract
Objective To investigate the effect of central lymph node dissection on the clinical efficacy and prognostic quality of life for differentiated thyroid carcinoma patients.Methods A total of 100 differentiated thyroid carcinoma patients in our hospital for unilateral thyroidectomy and isthmus,contralateral resection underwent central lymph node dissection were as research objects.The lymph node metastasis rate of the patients was statistically analyzed,and the related factors,prognostic quality of life were observed and analyzed.Results Lymph node metastasis was correlated to age and tumor diameter (P < 0.05).Patients in Ⅵ area had the highest rate of metastasis among 100 patients with central lymph node dissection,which showed a significant difference (P < 0.05).Recurrent laryngeal nerve,surrounded by thyroid papillary carcinoid tissue,was injured in 1 patient,and there were 4 cases with subcutaneous hemorrhage,5 with hoarseness.All were discharged after treatment,and there were no died and tracheal collapse patients.The quality of life score was significantly higher than preoperation (P < 0.05).Conclusion Central lymph node dissection can eliminate lymph node and occult lymph nodes with high metastasis rate,and improve the quality of life of differentiated thyroid cancer patients.关键词
中央淋巴结清扫术/分化型甲状腺癌/临床疗效/生活质量Key words
central lymph node dissection/differentiated thyroid carcinoma/clinical efficacy/quality of life分类
医药卫生引用本文复制引用
周科,潘俊峰,龙斌斌,李文仿,王耕..中央淋巴结清扫术治疗分化型甲状腺癌的临床疗效及预后分析[J].实用临床医药杂志,2018,22(3):63-65,3.基金项目
湖北省十堰市科学技术研究与开发项目计划(2014Y10) (2014Y10)