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探讨简化的功能性颈部淋巴结清除术治疗甲状腺乳头状癌的临床效果。回顾性分析2011年11月—2014年5月行简化的功能性颈部淋巴结清扫术的42例甲状腺乳头状癌患者的临床资料。其中行患侧腺叶全切除+峡部切除+对侧次全切除术40例,双侧甲状腺全切除2例。手术近期并发症4例,包括乳糜漏1例、声音嘶哑2例、症状性低钙血症1例,治疗后均恢复良好。术后随访3~30个月,39例患者获随访,均生存,患侧颈、项、肩部及上肢无明显感觉异常及活动障碍。应用简化的功能性颈部淋巴结清除术治疗甲状腺乳头状癌,有助于保护患侧颈、项、肩部及上肢感觉和运动功能,减少肿瘤复发和转移。
To explore the clinical effect of simplified functional neck lymph node dissection in the treatment of papillary thyroid carcinoma. The clinical data of 42 patients with papillary thyroid carcinoma who underwent simplified functional neck lymph node dissection from November 2011 to May 2014 were retrospectively analyzed. Among them, there were 40 cases of ipsilateral lobectomy plus isthmus and contralateral subtotal resection and 2 cases of bilateral thyroidectomy. 4 cases of recent surgical complications, including 1 case of chylous leakage, hoarseness in 2 cases, 1 case of symptomatic hypocalcemia, after treatment were recovered well. The patients were followed up for 3 to 30 months. All the 39 patients were followed up and survived. There were no obvious sensory abnormalities and movement disorders in the affected neck, neck, shoulder and upper limb. The application of simplified functional neck lymph node dissection in the treatment of papillary thyroid carcinoma helps to protect the affected neck from neck, neck, upper and upper limbs and to reduce motor recurrence and metastasis.