摘要
目的观察在双侧甲状腺癌治疗中予以全甲状腺切除术的临床治疗治疗效果。方法我院收治的双侧甲状腺癌患者34例为本研究选择的样本病例，病例样本以2014年5月至2016年5月为选择时段，对34例样本病例的临床资料进行回顾性分析，所有患者均采用全甲状腺切除术进行治疗，对其临床治疗进行观察和评价。结果34例双侧甲状腺癌患者在整个围术期无死亡病例产生，33例I期颈部淋巴结清扫，l例Ⅱ期颈部淋巴结再次清扫，10例双侧淋巴结呈现阳性结果，所占比例为29．41％，而16例单侧淋巴结呈现阳性结果，所占比例为47．06％；一过性甲状旁腺功能低下者4例，顽固性低钙血症1例，饮水呛咳1例，声音嘶哑和乳糜漏病例并未发现；所有患者均对甲状腺素片进行长时间服用以进行替代治疗，经过1年的随访，声音嘶哑和死亡病例并不存在。结论在是双侧甲状腺癌治疗中予以全甲状腺切除术具有明显的治疗效果，安全性高，以此对患者生活质量进行改善，在临床治疗中此方法值得大范围应用和推广。
Objective To observe the clinical treatment and treatment of total thyroidectomy in the treatment of bilateral thyroid carcinoma. Methods Thirty four patients with bilateral thyroid cancer were selected from this study. The clinical samples were ana- lyzed retrospectively from 34.5 to 2016.5 in all cases. All patients underwent retrospective analysis of all thyroid gland resection for treatment,its clinical treatment was observed and evaluated. Results 34 cases of bilateral thyroid cancer patients in the periopera- tive period without death cases, 33 cases of cervical lymph node dissection, 1 case of cervical lymph nOde dissection again, 10 cases of bilateral J ymph nodes showed positive results;the proportion Was 29.41%,while 16 cases of unilateral lymph nodes showed posi- tive results,the proportion was 47.06%;a transient hypoparathyroidism in 4 cases, 1 case of refractory hypocalcemia, 1 case of drinking cough,hoarse voice And chylorias were not found;all patients had long-term use of thyroxine tablets for alternative treat- ment,after 1 year of follow-up,hoarseness and death cases did not exist. Conclusion In the treatment of bilateral thyroid cancer, total thyroidectomy has obvious therapeutic effect and high safety, so as to improve the quality of life of patients. This method is worthy of application and popularization in clinical treatment.
出处
《重庆医学》
CAS
北大核心
2017年第A02期53-55,共3页
Chongqing medicine
关键词
双侧甲状腺癌
全甲状腺切除术
效果
bilateral thyroid carcinoma： total thyroideetomy
effect
