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目的:通过探析甲状腺微小癌患者的临床特征,对甲状腺微小癌的临床诊断以及治疗给予实验数据支持。方法:回顾分析2008年至2012年间我院收治的55例确诊甲状腺微小癌患者的临床资料。结果:全组55例患者中,乳头状癌为49例(89.1%),滤泡型癌为6例(10.9%),髓样型癌0例(0%);性别:患者中男性10例,女性45例;治疗:行全甲状腺切除术10例,行甲状腺次全切除术45例,术后无复发。结论:女性为甲状腺微小癌多发人群,病理类型以乳头状癌为主,治疗多采用甲状腺次全切除,即行患侧、峡部全切除,对侧次全切除术,术后复发率低。
Objective: To analyze the clinical features of patients with thyroid microcarcinoma and to provide experimental data for the clinical diagnosis and treatment of thyroid microcarcinoma. Methods: The clinical data of 55 patients diagnosed with thyroid microcarcinoma admitted to our hospital from 2008 to 2012 were retrospectively analyzed. Results: Of the 55 patients, 49 (89.1%) had papillary carcinoma, 6 (10.9%) had follicular carcinoma, and 0 (0%) had myeloid carcinoma. Gender: 10 males , 45 females; treatment: 10 cases of total thyroidectomy, subtotal thyroidectomy in 45 cases, no recurrence after surgery. Conclusions: Female patients with multiple thyroid microcarcinoma and pathological type are mainly papillary carcinoma. The total thyroidectomy was performed in the treatment group. The ipsilateral and isthmus resection and contralateral subtotal total resection were performed with low postoperative recurrence rate.