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1、微小乳頭狀甲狀腺癌淋巴結轉移規(guī)律及術式的研究朱武東1楊進平2鄧光華1梁霖1(1廣東省高州市分界鎮(zhèn)中心衛(wèi)生院普通外科525248)(2廣東省高州市中醫(yī)院外三科525200)【摘要】目的：探究微小乳頭狀甲狀腺癌淋巴結的轉移規(guī)律及手術方式的選擇。方法:綜合分析2007年4月至2010年1只期間我院收治的150例微小乳頭狀甲狀腺癌患者的淋巴轉移規(guī)律和不同手術方法的臨床效果。結果：所有選取的病例都接受常規(guī)甲狀腺雙側全切加頸深(III+IVK)組及中央(VI區(qū))組頸部淋巴結清掃術[1],手術治愈率高、創(chuàng)傷小，手術效果十分理想。微小乳頭狀甲狀腺癌淋巴結轉移主要和患者的年齡、腫瘤原發(fā)灶
2、數(shù)量、腫瘤直徑、發(fā)病區(qū)域等有直接關系。結論：微小乳頭狀甲狀腺癌是臨床中最常見的淋巴結轉移發(fā)生在中央組(V1IX)淋巴結，其次發(fā)生在頸深組(m+ivix)的淋巴結比較多，初次進行手術治療的患者應對雙側中央組淋巴結進行常規(guī)清掃，當腫瘤直徑〉lcm或者出現(xiàn)腫瘤突破甲狀腺包膜、侵犯肌肉時，要同時清掃同側的頸深組淋巴結?！娟P鍵詞】甲狀腺癌乳頭狀癌淋巴結轉移【中圖分類號】R73-3【文獻標識碼】A【文章編號】2095-1752(2013)25-0174-02ClinicalResearchonRegularityofLymphNodeMetastasisandtheselectio
3、nofsurgicalprocedureinMicroPapillaryThyroidCarcinomaZhuWudong1,YangJinhua2,DengGuanghual,LiangLinl1.DepartmentofGeneralsurgery,Fenjietowncenterhospital,MaomingGuangdong525248;2.Departmentofthethreesurgerysubjects,GaozhouTraditionChineseMedicineHospital,MaomingGuangdong525200[Abstract]Obj
4、ective:Toexplorethemicropapillarythyroidcancerlymphnodemetastasisandtheselectionofsurgicalprocedure.Methods:Comprehensiveanalyzethelymphnodemetastasisinclinicaleffectsofdifferentsurgicalmethodsof150casesofpapillarythyroidcancerfromApril,2007toJanuary,2010inourhospital.Results:Allpatients
5、werereceivingconventionalselectedshaverthyroidbilateraldeepcervical(III+IVarea)groupandcentral(VIarea)groupcervicallymphnodedissection.Theoperationissafeandsurgicalresultsarequitesatisfactory.Micropapillarythyroidcarcinomaandlymphnodemetastasisinpatientswithprimaryage,thenumberofprimaryt
6、umor,tumordiameter,whicharedirectlyrelated[2].Conclusion:Micropapillarythyroidcarcinomaisthemostcommonclinicaloccurrenceoflymphnodemetastasisinthecentralgroup(VIarea)lymphnodes,andthesecondhigheroccurredinthedeepjugular(III+IVarea),theinitialsurgicaltreatmentofpatientsrespondtodoubleside
7、routinecentrallymphnodedissection,whenthetumordiameter>1cmoratumorbreakthroughthyroidcapsule,violationofthemuscles,weneededtocleantheipsilateraldeepcervicallymphnodesinthesameway.【Keywords】ThyroidneoplasmPapillarycarcinomaLymphaticmetastasis據(jù)不完全統(tǒng)計，90%以上的甲狀腺癌患者屬于乳頭狀甲狀腺癌
