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[目的]探讨临床检查颈部淋巴结阴性(cN0)甲状腺乳头状癌Ⅵ区淋巴结处理的意义。[方法]回顾78例初治的cN0期甲状腺乳头状癌,分析Ⅵ区淋巴结摘除术与术后颈淋巴结转移的关系。[结果]78例cN0期甲状腺乳头状癌行Ⅵ区淋巴结摘除者17例,其中有14例淋巴结阳性,单纯腺叶切除术及腺叶切除+Ⅵ区肿大淋巴结摘除术两种术式在随访中的颈淋巴结发生率无显著性差异(P=0.08),但后者较前者颈淋巴结转移的发生有升高趋势。[结论]cN0期甲状腺乳头状癌Ⅵ区淋巴结转移率较高,应同时完成患侧腺叶切除+Ⅵ区淋巴结清扫术,可减少颈淋巴结转移的发生。
[Objective] To investigate the clinical significance of detecting lymph nodes in the Ⅵ region of cervical lymph node-negative (cN0) thyroid papillary carcinoma. [Methods] A retrospective review of 78 cases of naive cN0 papillary thyroid carcinoma, analysis of Ⅵ regional lymph node dissection and cervical lymph node metastasis after the relationship. [Results] 78 cases of cN0 papillary thyroid carcinoma underwent Ⅵ lymph node removal in 17 cases, of which 14 cases were positive lymph nodes, simple lobectomy and lobectomy + Ⅵ area lymph node dissection in two types of follow-up In the incidence of cervical lymph nodes was no significant difference (P = 0.08), but the latter than the former cervical lymph node metastasis have an increasing trend. [Conclusion] The rate of lymph node metastasis in Ⅵ of papillary thyroid carcinoma in cN0 stage is high, and the resection of ipsilateral lobectomy + Ⅵ area should be completed at the same time, which can reduce the incidence of cervical lymph node metastasis.