摘要
对于分化型甲状腺癌的甲状腺切除方式目前学术界公认的仅有4种术式,腺叶+峡部切除是治疗分化型甲状腺癌的最小术式,国外指南推荐全甲状腺或近全甲状腺切除作为治疗分化型甲状腺癌的主要术式,而患侧腺叶+峡部+对侧腺叶次全切除或部分切除为国内更多学者接受。4种手术各有利弊及适应范围。临床实践中应根据具体情况合理选择手术方式。
At present, there are only four surgical procedures of thyroidectomy for differentiated thyroid carcinoma have been generally acknowledged to the academic circles. Total pathological thyroid lobectomy plus isthmusectomy is generally the minimal surgical procedure for the treatment of differentiated thyroid carcinoma. Select total thyroidectomy or subtotal thyroidectomy to be the main surgical procedure for treating differentiated thyroid carcinoma is recommended by foreign guidelines, but the method of total thyroid lobectomy for tumor side plus isthmusectomy and subtotal lobectomy or partial resection for another side is accepted by more domestic scholars. There are advantages and disadvantages and adaptation range for four kinds of operative methods, so we should select reasonable surgical procedures according to concrete conditions in clinical practice.
出处
《医学与哲学（B）》
2012年第10期11-13,共3页
Medicine & Philosophy(B)
关键词
分化型甲状腺癌
甲状腺腺叶切除
differentiated thyroid carcinoma, thyroid lobectomy
