摘要
我国甲状腺癌的发病率呈现逐年升高趋势,但国内甲状腺癌的诊治水平却参差不齐,和国际标准相距甚远。手术方式的不规范性会导致肿瘤残留率和复发率增加,再次手术率升高,并发症风险倍增,甚至出现甲状腺癌失分化而丧失手术机会,同时也会影响甲状腺癌的后续治疗,包括促甲状腺激素(TSH)抑制治疗和131Ⅰ治疗。为了规范我国甲状腺癌的诊治,缩小与国际标准的差距,必须让甲状腺外科医生了解甲状腺癌手术方式只有甲状腺全/近全切除和甲状腺腺叶切除+峡部切除两种,并在有效保护喉返神经和甲状旁腺的基础上清扫中央区淋巴结,只有选择了正确的手术方式才能为后续治疗及愈后观察奠定良好的基础。
The incidence of thyroid cancer has been sharply increasing in China,meanwhile the diagnosis and treatment of thyroid cancer is in the status of disarray,which is far apart from international standards. Non-standard surgical method might lead to an increase in the rate of tumor residual and recurrence,consequently the reoperation rate and the risk of complication would also rise. Moreover,subsequent treatment of thyroid cancer,including TSH inhibition and treatment of131Ⅰ will be highly affected. In order to standardize the diagnosis and treatment of thyroid cancer in China,so as to approach international standards,thyroid surgeons should realize that standardized operative procedures of thyroid cancer include total or near total thyroidectomy,lateral lobectomy and isthmus resection. Surgeons should also perform ipsilateral central lymph node dissection based on effective protection of recurrent laryngeal nerve and parathyroid. Only if the proper operative procedure is performed,a good foundation for the subsequent treatment and observation could be achieved.
出处
《中华普外科手术学杂志（电子版）》
2015年第6期5-7,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
首都临床特色应用研究(Z141107002514102)~~
