中央区淋巴结清扫在甲状腺乳头状癌手术中的价值

陈征; 董汉华; 叶真

doi:10.13201/j.issn.1001-1781.2015.02.007

中央区淋巴结清扫在甲状腺乳头状癌手术中的价值

- 1 郑州大学附属郑州中心医院甲状腺头颈外科(郑州, 450007);
- 2 河南省肿瘤医院头颈外科

详细信息

通讯作者: 陈征,E-mail:csz197813@163.com

中图分类号: R736.1

收稿日期: 2014-09-10

The value of central lymph node dissection in surgical treatment of papillary thyroid carcinoma

- 1 Department of Thyroid-Head and Neck Surgery, Zhengzhou Center Hospital Affiliated to Zhengzhou University, Zhengzhou, 450007, China;
- 2 Department of Head and Neck Surgery, Henan Cancer Hospital

More Information

Corresponding author: CHEN Zheng, E-mail: csz197813@163.com

Received Date: 10 September 2014

摘要

摘要: 目的:探讨中央区淋巴结清扫在甲状腺乳头状癌处理中的作用。方法:收集我院2011-2012收治的136例甲状腺乳头状癌患者,所有患者在切除原发灶的同时均进行同侧中央区淋巴结清扫,临床颈侧区淋巴结转移的患者行颈侧区功能性淋巴结清扫术。结果:136例患者中央区淋巴结阳性率为56.6%(77/136),其中临床淋巴结阴性(cN0)患者,中央区淋巴结阳性率为47.5%(48/101),临床淋巴结阳性(cN1)患者,中央区淋巴结阳性率为82.9%(29/35),差异具有统计学意义。结论:在没有增加手术风险的情况下,切除甲状腺癌原发灶的同时应该行同侧中央区淋巴结清扫。
- 甲状腺乳头状癌 /
- 中央区淋巴结 /
- 淋巴结清扫
Abstract: Objective: To discuss the role of the central lymph node dissection in the treatment of papillary thyroid carcinoma.Method: Collect 136 patients who underwent thyroidectomy with papillary thyroid carcinoma in our hospital in 2011-2012,all are conducted with lymph node dissection in the central area as well as resection of primary lesion. Functionl lateral neck lymph node dissection were used for patients with clinical lateral neck lymph node metastasis.Result: In 136 patients, 56.6%(77/136) of the central lymph node metastasis were detected.Positive rate was 47.5% in 101 cN0 patients and 82.9% in 35 cN1 patients.Conclusion: In the case of not increasing risk of surgery, resection of thyroid cancer primary lesion the central lymph node at the same time is a surgical procedure to be recommended.
- papillary thyroid carcinoma /
- central regional lymph node /
- lymph node dissection

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参考文献(10)

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