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目的探讨分化型甲状腺癌二次手术的原因、手术方式及并发症。方法回顾53例分化型甲状腺癌二次手术相关资料,对二次手术方式、并发症及预后进行分析。结果二次手术中甲状腺及周围组织中残癌率为40.8%(20/49),颈部淋巴结转移率为37.1%(13/35),手术并发症发生率15.1%(8/53),二次手术后5年生存率96.1%(49/51)。结论分化型甲状腺癌术前诊断困难,存在转移、复发,二次手术并发症发生率较高,根据患者初次手术方式、淋巴结转移情况等因素综合判断,对颈部淋巴结癌转移、可能甲状腺癌残留及术后复发患者有必要进行二次手术。
Objective To investigate the causes, surgical methods and complications of differentiated thyroid cancer secondary surgery. Methods Retrospective data of 53 cases of differentiated thyroid cancer secondary surgery, the secondary surgical methods, complications and prognosis were analyzed. Results The rate of residual cancer in thyroid and surrounding tissues was 40.8% (20/49) in secondary surgery. The rate of cervical lymph node metastasis was 37.1% (13/35). The incidence of surgical complications was 15.1% (8/53) The 5-year survival rate was 96.1% (49/51). Conclusions The preoperative diagnosis of differentiated thyroid cancer is difficult, there is a high incidence of metastasis, recurrence and secondary surgery complications. According to the first operation mode and lymph node metastasis of patients with differentiated thyroid cancer, the metastasis of cervical lymph nodes, the possible residual of thyroid cancer And postoperative recurrence in patients with secondary surgery is necessary.