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目的 :探讨残余甲状腺全切除术在甲状腺癌治疗中的作用。方法 :分析我院1994年8月～1998年7月对已手术(术后18月内)并经病理证实为甲癌(乳突状癌11例、滤泡状癌2例、髓样癌3例)的16例患者行残余甲状腺全切除术的临床资料。结果 :原来行包块切除及侧叶切除术的残癌率分别为75%(6/8)及60%(3/5)。多灶癌7例(43.8%)。临床治愈率为87.5%(14/16)。结论 :残余甲状腺全切除术在甲癌治疗中具有切除残余癌、利于早期发现转移灶及复发灶、为131I治疗作准备等作用。因此 ,只要由有经验的专科医师施术 ,是完全可以做到低风险、高疗效的。
Objective: To investigate the effect of total thyroidectomy in the treatment of thyroid cancer. Methods: From August 1994 to July 1998 in our hospital, we analyzed the clinical data of patients who had undergone surgery (within 18 months after operation) and confirmed by pathology as A (11 cases of papillary carcinoma, 2 cases of follicular carcinoma, 3 cases of medullary carcinoma Cases) of 16 patients underwent residual thyroidectomy clinical data. Results: The original residual tumor rates of resection and lobectomy were 75% (6/8) and 60% (3/5), respectively. Multifocal carcinoma in 7 cases (43.8%). Clinical cure rate was 87.5% (14/16). Conclusion: Total thyroidectomy has the advantages of resection of residual cancer in the treatment of A-carcinoma, which is beneficial to the early detection of metastases and recurrence, so as to prepare 131I for treatment. Therefore, as long as the operation by an experienced specialist, is entirely possible to do low-risk, high efficacy.