预防性保功能中央区淋巴结清扫治疗影像检查所见分化型甲状腺癌临床进展

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近年来,随着公民体检意识增强以及B超等辅助检查技术的提高和普及,甲状腺结节的发现率普遍上升。其中,5%~15%的甲状腺结节为恶性[1]。手术治疗是甲状腺癌主要的治疗方法,切除术式主要包括全/近全甲状腺切除术和甲状腺腺叶+峡部切除术。颈部淋巴结转移是甲状腺癌病人(尤其年龄≥45岁)复发率增高和存活率下降的危险因素[2-3]。甲状腺癌的颈部淋巴结转移,多首先发生于中央区[4-5]。28%~33%的颈部淋巴结转移在术前影像学和术 In recent years, with the increasing awareness of physical examination of citizens and the improvement and popularization of B-ultrasound and other auxiliary examination techniques, the detection rate of thyroid nodules has generally risen. Among them, 5% to 15% of thyroid nodules are malignant [1]. Surgical treatment of thyroid cancer is the main treatment, resection mainly include total / near total thyroidectomy and thyroid gland lobectomy resection. Cervical lymph node metastasis is a risk factor for thyroid cancer patients (especially aged 45 years) increased recurrence rate and decreased survival [2-3]. Cervical lymph node metastasis of thyroid cancer, and more first occurred in the central area [4-5]. 28% to 33% of cervical lymph node metastases in preoperative imaging and surgery
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