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目的探讨颈部中央区域淋巴结清扫术在甲状腺微小乳头状癌中的应用价值。方法 46例经手术病理检查确诊的甲状腺微小乳头状癌患者,均行原发灶根治联合中央区域淋巴结清扫术治疗,术后随访观察患者中央区域淋巴结转移情况以及术后并发症。结果 46例患者中,21例患者发生中央区域淋巴结转移,转移率为45.7%。术后1例患者发生暂时性喉返神经麻痹,未治疗,2个月后自行痊愈,3例患者发生甲状旁腺功能减退,经补钙等对症治疗后恢复正常。随访期间无一例患者出现复发转移或死亡。结论颈部中央区域淋巴结清扫术在甲状腺微小乳头状癌治疗中有重要的临床价值,应在切除原发灶的同时行中央区淋巴结清扫,且临床效果较好
Objective To investigate the value of central neck lymph node dissection in thyroid papillary carcinoma. Methods Totally 46 cases of thyroid papillary carcinoma confirmed by pathology were treated by radical radical mastectomy and central lymph node dissection. The central lymph node metastasis and postoperative complications were observed and followed up. Results Of the 46 patients, 21 patients had central lymph node metastasis with a metastasis rate of 45.7%. One patient had transient laryngeal nerve paralysis after operation, untreated, and healed on his own after two months. Three patients had hypoparathyroidism and returned to normal after symptomatic treatment with calcium. None of the patients had recurrence, metastasis or death during follow-up. Conclusion The central lymph node dissection in the neck has important clinical value in the treatment of thyroid papillary carcinoma. The removal of the primary tumor should be accompanied by lymphadenectasis in the central area, and the clinical effect is better