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目的探讨分化型甲状腺癌的诊断及治疗方法。方法对河南宏力医院2006年12月—2009年12月3年间手术治疗的98例分化型甲状腺癌患者的临床资料进行回顾性分析。结果术前均行B超检查,拟诊为甲状腺癌70例(70/98),行术中冰冻切片检查98例,诊断甲状腺癌90例,阳性率为92%。98例患者均行手术治疗,无手术死亡病例,术后恢复好。结论彩超检查提示甲状腺结节内微钙化灶对甲状腺癌的术前诊断有重要提示意义,发现淋巴结肿大亦可作为是否行颈淋巴结清扫的指征之一。术中冰冻切片检查是确诊甲状腺癌的最佳方法。患叶加峡部和对侧大部切除是甲状腺癌的主要手术方式。
Objective To investigate the diagnosis and treatment of differentiated thyroid cancer. Methods The clinical data of 98 patients with differentiated thyroid cancer underwent surgical treatment in Henan Grace Hospital from December 2006 to December 2009 were retrospectively analyzed. Results All patients were diagnosed as B-thyroid carcinoma preoperatively by surgery, 70 cases were diagnosed as thyroid cancer (70/98). There were 98 cases of intraoperative frozen section examination and 90 cases of thyroid cancer. The positive rate was 92%. 98 patients underwent surgical treatment, no case of surgical death, postoperative recovery is good. Conclusion The results of color Doppler ultrasound examination suggest that the microcalcifications in thyroid nodules have important implications for the preoperative diagnosis of thyroid cancer. It is also suggested that lymphadenopathy may be one of the indications for cervical lymph node dissection. Intraoperative frozen section examination is the best way to diagnose thyroid cancer. Suffering from the isthmus and the other side of the isthmus is the main surgical method for thyroid cancer.