摘要
目的:探讨中央区淋巴结清扫术在临床颈淋巴结阴性(cN0)甲状腺乳头状癌治疗中的价值。方法:对67例cN0甲状腺乳头状癌行原发灶根治性切除,同时行患侧中央区淋巴结清扫术,清扫标本常规送病理检查。结果:cN0甲状腺乳头状癌患者中央区淋巴结转移率50.7%(34/67)。中央区淋巴结转移与肿瘤大小无关(χ2=0.42,P>0.05);与原发灶侵犯包膜(χ2=8.76,P<0.01)及年龄≥45岁者(χ2=4.30,P<0.05)有关,67例均无喉返神经损伤、永久性低钙抽搐等并发症发生。结论c:N0甲状腺乳头状癌行中央区淋巴结清扫术是必要的、安全的处理方式。
Objective: To evaluate the value of the central compartment neck dissection for cN0 papillary thyroid carcinoma.Methods: The clinical data of 67 cases with cN0 papillary thyroid carcinoma were studied.The central compartment lymph node dissection was routinely performed during cN0 papillary thyroid carcinoma operation and the specimens were sent for pathological examination.Results:The lymph node metastasis incidence was 50.7% in 67 cN0 cases.The lymph node metastasis rate was related with the carcinoma invaded thyroid envelope(χ2 =8.76,P<0.01) and age of 45 or more than 45 years(χ2 =4.30,P<0.05) but not with the diameter of the tumors(χ2 =0.42,P>0.05).There were no such complications as laryngeal nerves injury and hypocalcaemia tenancy.Conclusion: It is necessary and safe to perform central compartment neck dissection during cN0 papillary thyroid carcinoma operation.
出处
《天津医科大学学报》
2010年第4期619-62l,共3页
Journal of Tianjin Medical University
