摘要
目的探究中央区淋巴结清扫有无对治疗甲状腺微小癌(TMC)的疗效。方法选取2014年7月-2016年10月收治的65例TMC患者临床资料进行分析,随机数字表法分成对照组(30例)与研究组(35例),前者未予以中央区淋巴结清扫,后者予以中央区淋巴结清扫,比较两组淋巴结转移率、并发症发生率及再发率、甲状腺激素指标水平。结果研究组淋巴结转移率2.85%较对照组显著低(P<0.05);研究组与对照组术后1个月FT4、FT3水平均低于术前(P<0.05);且研究组术后1个月TSH[(1.09±0.38)mIU/L]低于术前,对照组[(13.22±22.47)mIU/L]高于术前(P<0.05)。结论 TMC患者进行中央区淋巴结清扫可有效降低淋巴结转移率与再发率,且术后并发症较少,安全性高,可推广。
Objective To investigate the effect of central lymph node dissection in the treatment of thyroid microcarcinoma(TMC).Methods The clinical data of 65 patients with TMC admitted from July 2014 to October 2016 were analyzed.The patients was divided into two group by random number table,the control group(n=30)and study group(n=35).The former was not treated with central lymph node dissection.The latter was underwent central lymph node dissection,then the lymph node metastasis rate,the incidence of complications and recurrence rate,thyroid hormone levels of two groups were compared.Results The lymph node metastasis rate in study group was 2.85%,which was lower than that in control group(P<0.05).The levels of FT4 and FT3 in study group and control group at one month after operation were lower than those before operation(P<0.05).The TSH[(1.09±0.38)mIU/L]at 1 month after operation in the study group was lower than that before operation,but the control group[(13.22±22.47)mIU/L]was higher than that before operation(P<0.05).Conclusion The TMC patients with central lymph node dissection could effectively reduce the rate of lymph node metastasis and recurrence,and with less postoperative complications,high safety,which could be clinical extended.
作者
莫海扬
Haiyang MO(People's Hospital of Chaozhou City,Chaozhou 521000,China)
出处
《心血管外科杂志（电子版）》
2017年第4期386-387,共2页
Journal of Cardiovascular Surgery(Electronic Edition)
