摘要
目的:探讨甲状腺癌误诊误治原因及近期再手术的指征、手术时机及手术方式。方法:回顾性分析1998年1月～2005年5月因误诊误治需再手术的28例甲状腺癌患者的临床资料。结果:再手术甲状腺癌原发灶残留占35.7%,气管食管沟淋巴结转移占28.5%,侧颈淋巴结转移占32.1%。结论:甲状腺癌首次手术时,误诊误治使手术范围不足是导致近期内再手术的主要原因,对有再手术指征者应尽早进行手术,并选择规范的手术方式。
Objective：To identify the causes of misdiagnosis and wrong treatment for thyroid carcinoma and analyze the reoperative indicators, the operative time, and operative mode. Methods：A retrospective analysis was made on the clinical data of 28 patients with thyroid carcinoma who needed reoperation because of misdiagnosis and wrong treatment. Results：The rate of residual primary thyroid carcinoma was 35.7%. The rate of lymph node metastasis in trachea and esophagus groove was 28.5%. The rate of cervical ipsilateral lymph node metastasis was 32.1%. Conclusion： The misdiagnosis and inadequate operation were the main reasons for the re operation of thyroid carcinoma. It was necessary to take early and standardized reoperation for the patients who had the reoperative indicators.
出处
《肿瘤》
CAS
CSCD
北大核心
2006年第4期385-386,共2页
Tumor
关键词
甲状腺肿瘤
误诊
再手术
Thyroid neoplasms
Diagnostic crrors
Reoperation
