甲状腺癌再手术32例
甲状腺肿瘤·复发·再手术,,甲状腺肿瘤·复发·再手术,1资料与方法,2结果,3讨论,参考文献
【摘要】目的：探讨甲状腺癌再次手术的方法及可行性。方法：回顾性分析1997~2004年治疗的32例手术后复发甲状腺癌患者资料。术中见不同程度的气管、食道、喉返神经及重要血管侵犯，根据受累程度的不同，采用不同的手术方法。结果：随访1~7年，其中5例肺转移死亡，1例术后2年急性心肌梗塞死亡，2例颈部再次复发，拒绝治疗后失访，余24例无瘤生存。结论：甲状腺癌再手术中，积极有效地处理受累气管、食管，认真处理手术每一环节，可提高甲状腺癌再手术患者的无瘤生存率。【关键词】甲状腺肿瘤·复发·再手术
Thyoid carcinoma recurrence operation:report 32 cases
ZHAO Liande,HU Xiuqi
Department of General Surgery,Linyi City Traditional Chinese Medicine Hospital(Shandong 256002,China)
【ABSTRACT】Objective:To investigate the efficiency and method of the thyoid carcinoma recurrence operation.Methods:32 cases of recurrent thyroid carcinoma from 1997~2004 were reviewed retrospectively.Various degrees of involvement of trachea,esophagus,recurrent laryngal nerve and severe vessels were found in the operation.According to the different levels of invasion,different operative methods were adopted.Results:In the followup of 1~7 year lung metastasis was found in 5 cases,2 cases with lung metastasis combined with bone metastasis died,1 case died of acute myocardial infarction in 2 years cervical recurrence occurred in 2 cases.After objecting to treatment,they were out of followup.The other 24 cases live without tumor.Conclusion:It is necessary to manage the involved trachea and esophagus to improve the survival rate during reoperation for thyroid cancer. ......
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