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目的:探讨甲状腺癌误诊误治原因及近期再手术的指征、手术时机及手术方式。方法:回顾性分析1998年1月～2005年5月因误诊误治需再手术的28例甲状腺癌患者的临床资料。结果:再手术甲状腺癌原发灶残留占35.7%,气管食管沟淋巴结转移占28.5%,侧颈淋巴结转移占32.1%。结论:甲状腺癌首次手术时,误诊误治使手术范围不足是导致近期内再手术的主要原因,对有再手术指征者应尽早进行手术,并选择规范的手术方式。
Objective: To investigate the causes of misdiagnosis and misdiagnosis of thyroid cancer and the indications of recent reoperation, the timing of operation and the surgical procedure. Methods: The clinical data of 28 patients with thyroid carcinoma who underwent further operation due to misdiagnosis and mistreatment from January 1998 to May 2005 were retrospectively analyzed. Results: Residual thyroid cancer accounted for 35.7% of reoperation, tracheal esophageal groove lymph node metastasis accounted for 28.5%, lateral neck lymph node metastasis accounted for 32.1%. Conclusion: In the first operation of thyroid cancer, the misdiagnosis and mistreatment make the scope of the operation insufficient, which is the main reason leading to the reoperation in the near future. The patients with re-operation indications should be operated as soon as possible and choose the normal operation mode.