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我院1958年10月～1984年2月收治经病理证实的甲状腺癌共238例,术前临床未触及颈部肿大淋巴结者139例其中有颈淋巴结转移者37例(26.6％);可触及颈部肿大淋巴结者99例,其中有颈淋巴结转移者95例(96.0％),各病理类型的颈淋巴结转移情况见下表,本组颈淋巴结清除术共104例次(4例先后作双侧清除)占总病例的42％。其中因术前触及颈部肿大淋巴结或术中发现甲状腺周围有肿大淋巴结而行颈淋巴结清除术(治疗性清除术)79例次,其中72例次(91.1％)有淋巴结转移。术前或术中均未发现颈部肿大淋巴结而施行预防性颈淋巴结清除术25例次其中仅6例(24.0％)有淋巴结转移。
From October 1958 to February 1984 in our hospital, 238 cases of pathologically confirmed thyroid cancer were treated. There were 139 cases of cervical lymphadenopathy that did not reach the preoperative clinic and 37 cases (26.6%) had cervical lymph node metastasis. There were 99 cases with enlarged neck lymph nodes, including 95 cases with cervical lymph node metastasis (96.0%). The lymph node metastasis of each pathological type was shown in the table below. There were 104 cases of cervical lymph node dissection in this group (4 cases had double Side clearance) accounted for 42% of the total cases. Among them, 79 cases of cervical lymph node dissection (therapeutic removal) were performed because of preoperative cervical lymph node enlargement or lymph nodes around the thyroid gland. 72 cases (91.1%) had lymph node metastasis. No lymph node metastasis was found in 25 cases of cervical lymphadenectomy without preoperative or intraoperative lymph node metastasis. Only 6 cases (24.0%) had lymph node metastasis.