论文部分内容阅读
目的评估cN0分化型甲状腺癌改良根治新术式的疗效。方法对52例cN0分化型甲状腺癌的临床资料及随访结果进行了回顾性分析。本组52例cN0分化型甲状腺癌均采用改良根治术新术式,即小切口、保留颈丛、分区清扫(只清扫Ⅱ、Ⅲ、Ⅳ、Ⅵ区,不清扫Ⅴ区)。结果52例患者术后均未出现术区皮肤感觉缺失及肩关节功能障碍,且其中50例随访3～6年,均存活,未见甲状腺原发灶及颈部淋巴结复发,亦未出现远处转移。结论cN0分化型甲状腺癌采用改良根治术新术式切实可行,取得了美容和功能保全的理想效果,且远期疗效满意。
Objective To evaluate the efficacy of a new radical cure for cN0 differentiated thyroid cancer. Methods The clinical data and follow-up results of 52 cases of cN0 differentiated thyroid cancer were retrospectively analyzed. The group of 52 cases of cN0 differentiated thyroid cancer with modified radical mastectomy, a small incision, to retain the cervical plexus, regional cleaning (only clean Ⅱ, Ⅲ, Ⅳ, Ⅵ area, unclear sweep Ⅴ area). Results All the 52 patients showed no postoperative skin loss of sensation and shoulder dysfunction. Fifty patients were followed up for 3 to 6 years, all of them survived. There was no recurrence of primary thyroid gland and neck lymph node, nor distant Transfer. Conclusion cN0 differentiated thyroid cancer with modified radical mastectomy is feasible and has achieved satisfactory cosmetic and functional preservation with satisfactory long-term curative effect.