预防性颈中央区淋巴结清扫术与传统甲状腺全切除术治疗甲状腺癌的效果对比

Abstract
Figure/Table
References (17)
Related Citation (8)

Download: PDF (0 KB) HTML (30 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the effect comparison of preventive cervical central lymph node dissection and conventional total thyroidectomy in the treatment of thyroid cancer.Methods The clinical data from 50 patients with thyroid cancer who were admitted to our department from January 2007 to January 2012 were analyzed.According to different surgical methods,they were divided into control group(n=20,traditional total thyroidectomy)and observation group(n=30,preventive cervical central lymph node dissection).The operative time,intraoperative blood loss,incidence of temporary and permanant hypocalcemia,recurrence rate 5 years after surgery,incidence of postoperative cervical lymph node metastasis and survival rate in two groups were observed.Results The operative time in the observation group was longer than that in the control group.The intraoperative blood loss was more,the 5-year recurrence rate after surgery,postoperative cervical lymph node metastasis rate,and the survival rate were all lower compared with those in the control group.The differences were statistically significant(P＜0.05）.There was no significant difference in the incidence of temporary/permanent hypocalcemia between the two groups(P＞0.05）.Conclusion Preventive cervical central lymph node dissection for thyroid cancer patients can reduce the incidence of hypocalcemia and obtains a good prognosis,which is worthy of clinical application and promotion.

Key words： Preventive cervical central lymph node dissection Conventional total thyroidectomy Thyroid cancer

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Wen-jie

Cite this article:

ZHANG Wen-jie. Comparison of preventive cervical lymph node dissection and conventional total thyroidectomy for thyroid cancer[J]. 中国当代医药, 2018, 25(14): 79-81.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I14/79

[1]	代文杰，喻庆安.规范性甲状腺癌中央区淋巴结清扫的几个技术要点[J].临床外科杂志，2017，25（11）：826-828.
[2]	Calò PG，Medas F，Pisano G，et al.Differentiated thyroid cancer：indications and extent of central neck dissection-our experience[J].Int J Surg Oncol，2013，2013（11-12）：625193.
[3]	苏庆长，张桂华，孙善平，等.喉返神经监测技术在分化型甲状腺癌中央区淋巴结清扫术中的临床应用[J].中华普通外科学文献（电子版），2016，10（6）：441-444.
[4]	Tavares MR，Cruz JA，Waisberg DR，et al.Lymph node distribution inthe central compartment of the neck：an anatomic study[J].Head Neck，2014，36（10）：1425-1430.
[5]	张磊，王洋，李新喜，等.预防性颈中央区淋巴结清扫术与传统甲状腺全切除术治疗cN0期甲状腺乳头状癌安全性及有效性meta分析[J].中国普外基础与临床杂志，2015，22（12）：1487-1494.
[6]	韩靓，蒋斌，陈卫贤，等.双侧甲状腺癌中央区淋巴结清扫的必要性及安全性研究[J].中国肿瘤外科杂志，2017，9（2）：103-105.
[7]	王卓颖，吴毅.分化型甲状腺癌的诊治指南解读[J].外科理论与实践，2014，19（3）：185-188.
[8]	Wang TS，Evans DB.Commentary on：occult lymph node metastasis and risk of regional recurrence in papillary thyroid cancer after bilateral prophylactic central neck dissection：a multi-institutional study[J].Surgery，2017，161（2）：472-474.
[9]	林晓东，陈晓意，黄宝骏，等.预防性颈中央区淋巴结清扫对c N0分化型甲状腺癌分期与复发危险度分层的意义[J].中国普通外科杂志，2015，24（5）：633-637.
[10]	Orloff LA，Kuppersmith RB.American Thyroid Associations centralneckdissectionterminologyandclassificationforthyroid cancer consensus statement[J].Otolaryngol Head Neck Surg，2010，142（1）：4-5.
[11]	盛建，孙弟，薛迎春，等.常规中央区淋巴结清扫在cN0期分化型甲状腺癌根治术中的应用[J].江苏大学学报（医学版），2017，27（2）：150-153.
[12]	Ito Y，Fukushima M，Higashiyama T，et al.Incidence and predictors of right paraesophageal lymph node metastasis of N0 papillary thyroid carcinoma located in the right lobe[J].Endocr J，2013，60（3）：389-392.
[13]	余松林.预防性中央区淋巴结清扫对乳头状甲状腺癌术后复发影响的meta分析[J].同济大学学报（医学版），2014，35（5）：75-78.
[14]	Pinyi Z，Bin Z，Jianlong B，et al.Risk factors and clinical indication of metastasis to lymph nodes posterior to right recurrent laryngeal nerve in papillary thyroid carcinoma：A single-center study in China[J].Head Neck，2014，36（9）：1335-1342.
[15]	张红梅，尹乐平.双侧中央区淋巴结清扫术在分化型甲状腺癌手术治疗中的应用[J].实用医院临床杂志，2015，12（3）：157-161.
[16]	Giordano D，Valcavi R，Thompson GB，et al.Complications of central neck dissection in patients with papillary thyroid carcinoma：results of a study on 1087 patients and review of the literature[J].Thyroid，2012，22（9）：911-917.
[17]	Wang LY，Versnick MA，Gill AJ，et al.LevelⅦ is an important component of central neck dissection for papillary thyroid cancer[J].Ann Surg Oncol，2013，20（7）：2261-2265.