摘要
目的 探讨甲状腺癌近期内再手术的原因、手术指征、手术时机及手术方式。方法 回顾性分析 1994年 1月～ 2 0 0 3年 6月间 33例甲状腺癌患者 3个月内再手术的临床资料。结果 再手术中发现甲状腺癌残留 14例 ,其中伴颈部淋巴结转移 4例 ,对侧甲状腺腺瘤残留 2例。 2 2例获得随访 ,随访时间 6个月～ 9年 ,中位随访时间 4年 ,本组未出现肿瘤复发。结论 甲状腺癌首次手术时漏诊、误诊及首次手术切除范围不足是导致近期内再手术的主要原因。对明确有再手术指征者 ,手术应尽早进行。再手术时应选择适当的手术方式 ,以提高患者的长期生存率 ,减少并发症的发生。
Objective To investigate the cause,the indication,the timing and operative procedure of short-term reoperation for thyroid carcinoma.Methods A retrospective analysis was made on the clinical data of reoperation within 3 months in 33 cases of thyroid carcinoma from January 1994 to June 2003.Results Four-teen patients were found to have residual cancer in thyroid and its surrounding tissue. Four of them had cervical lymph node metastasis and 2 were found to have adenoma in contralateral thyroid.Twenty-two cases were followed-up for 6 months to 9 years(mean=4 yrs) after secondary operation, there was no carcinoma recurrence.Conclusions The main causes of short-term reoperation for thyroid carcinoma were missed diagnosis or misdiagnosis at the first operation and incorrect original operative procedures. Reoperation should be performed as early as possible when the indication for surgical reintervention was confirmed. Meanwhile, a proper procedure should be chosen to increase the long-term survival rate and reduce the occurrence of complications.
出处
《中国肿瘤临床与康复》
2004年第6期539-541,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
