摘要
目的 探讨甲状腺癌二次手术的意义、方式及对病人的影响。方法 回顾 87例甲状腺癌二次手术的资料 ,对多项指标进行统计分析。结果 二次手术中甲状腺及周围组织中残癌率为 5 7 5 % ;颈部淋巴结残癌率为 49 4 %。二次手术后的 5年生存率为 98 0 % ,1 0年生存率为 88 9%。结论 由于甲状腺癌的术前误诊 ,造成首次手术后的残癌率较高 ,二次手术是必要的 ,而且两次手术间隔不要超过
Objective To investigate the significance and mode of reoperation for thyroid carcinoma and influence on prognosis.Methods The material of 87 cases of reoperation for thyroid carcinoma was reviewed and analysed.Results The incidence of residual cancer in thyroid and it's surrounding tissue was 57 5%,and in cervical lymph node,it was 49 4%.Survival rate of five-year and ten-year of reoperation were 98 0% and 88 9%,respectively.Conclusion The incidence of residual cancer was higher because of erroneous diagnosis before the operation,which showed the necessity for reoperation.The interval should not be over 3 months. Objective To further observe the effect of preoperative autologous transfusion in the elderly patients.Methods The patients took Ferrosi Succinatis 150mg every 12 hours from the day of deciding to use autologous transfusion to the surgery operationday.We drew blood through a CPAD blood bag placed in an antecubital vein.Three times of solution to the blood was simultaneously infused(Crystalloid solution to colloid solution is 2∶1).Results 32 patients only received autologus blood transfusions except 2 patients also received allogenic transfusions because of the amount blood was lost.All patients had no obvious complications.Conclusion Autologous transfusion can be used with strict indications.As long as the patients' HBG,HCT and PLT are normal and without diesases of heart and lungs,this method is safe and effective.
出处
《中国实用外科杂志》
CSCD
北大核心
2000年第8期480-481,共2页
Chinese Journal of Practical Surgery
