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目的：早期乳头状甲状腺癌的术式选择及VI区淋巴结清扫的临床意义。方法：选择我院普外科手术治疗早期乳头状癌患者57例，依据包块的不同部位选择术式，V I区淋巴结清扫。结果：57例病人均恢复良好，切口I期愈合。V I区淋巴组织病理检查31例呈阳性，即中央区淋巴结转移率为54.38%。结论：早期单发甲状腺乳头状癌应根据病灶部位决定手术切除的术式，并给予VI区淋巴结清扫。“,”Objective To study individual choice and VI section lymph node dissection of early single thyroid papillary carcinoma (CN0) operation. Method 57 cases patients with early thyroid papillary carcinoma in general surgery department of our hospital were selected, according to different lesion position,choose surgical mothod, clear the lymphatic gland in VI district. Result All patients recovered well, incision healed in Stage I. VI section lymphoid tissue pathological examination indicated 31 cases was positive, namely, the central lymph node metastasis rate was 54.38%. Conclusion Operation method choosing of CN0 should accord to the site of tumor, and it is necessarily to preventability clear lymphatic gland in VI district.