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| Clinical effect of selective cervical lymph node dissection in the treatment of papillary thyroid carcinoma |
| XUE Feng JIANG Xue▲ |
| The Second Department of Breast and Thyroid Surgery,Dalian Central Hospital,Liaoning Province,Dalian 116033,China |
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Abstract Objective To explore the clinical effect of selective cervical lymph node dissection in the treatment of papillary thyroid cancer.Methods A total of 120 patients with papillary thyroid cancer admitted to Dalian Central Hospital from March 12,2018 to March 18,2019 were selected as the research subjects.They were divided into the observation group (n=60) and the control group (n=60) according to odd and even numbers randomization.In the control group,conventional thyroidectomy was used,and in the observation group,selective cervical lymph node dissection was adopted.The number of lymph node dissections,hospital stay,intraoperative blood loss,operation time,visual analog scale(VAS) score,positive rate at 7 days after surgery,incidence of complications,12 months of recurrence rate,nodule volume reduction rate,nodule volume and the level of thyroid stimulating hormone (TSH),serum free triiodothyronine(FT3),and serum free thyroxine (FT4) were compared between the two groups.Results The incidence of complications,positive rate of 7 days after operation,12-month recurrence rate,VAS score of the observation group were lower than those of the control group,with statistical significance (P＜0.05).The nodule volume of the observation group was less than that of the control group,the intraoperative blood loss of the observation group was less than that of the control group,and the differences were statistically significant (P＜0.05).The number of lymph node dissections of the observation group was more than that of the control group,and the difference was statistically significant (P＜0.05).The operation time and hospital stay of the observation group were shorter than those of the control group,and the differences were statistically significant (P＜0.05).The levels of FT3,FT4,TSH and the reduction rate of nodule volume of the observation group were higher than those of the control group,with statistical significance (P＜0.05).Conclusion Selective cervical lymphadenectomy for patients with papillary thyroid cancer has a remarkable effect,which can improve thyroid function,and reduce postoperative incidence of complications and the current nodule volume.
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