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目的总结近年来前哨淋巴结活检术(sentinel lymph node biopsy,SLNB)在甲状腺癌手术中应用的研究进展。方法根据Pub Med和中国知网数据库检索获取的相关资料,就近年来关于SLNB的种类及其指导甲状腺癌手术中颈部淋巴结清扫的研究进展进行综述。结果 SLNB有着较高的检出率,对发现隐匿淋巴结转移灶和指导术中淋巴结清扫有着重要的意义。结论 SLNB能通过对隐匿淋巴结转移灶准确识别,来指导术中颈部淋巴结的清扫,能使患者的受益最大化。
Objective To summarize the application of sentinel lymph node biopsy (SLNB) in thyroid cancer surgery in recent years. Methods According to the relevant data retrieved from Pub Med and CNKI database, the research progress on the types of SLNB and the methods to guide the neck lymph node dissection in thyroid cancer surgery were reviewed in recent years. Results SLNB has a high detection rate, which is of great significance for the detection of occult lymph node metastases and the guidance of intraoperative lymphadenectomy. CONCLUSIONS: SLNB can accurately guide the detection of occult lymph node metastases to guide the dissection of cervical lymph nodes and maximize the benefit of patients.