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目的 探讨甲状腺全切除术在治疗甲状腺癌中的临床应用价值。方法 我院 1985～2 0 0 0年经同一外科医生施行甲状腺全切除术治疗甲状腺癌 87例 ,对其发生并发症及术后 1 3 1 I治疗进行回顾性分析。结果 术后观察 :喉返神经损伤 2例 (2 .3% ) ,低钙血症 1例 (1.1% ) ,无永久性喉返神经损伤或低钙血症 ,无死亡。 84例患者术后获得随访 ,平均随访 5年 ,无瘤生存 82例 (97.6 % ) ,其中选择性进行 1 3 1 I治疗 5 8例 ,占 70 .7% (5 8/ 82 )。结论 甲状腺全切除术是治疗甲状腺癌安全、有效的手术方式 ,能彻底切除腺体内恶性肿瘤的潜在转移性病变 ,为术后进行1 3 1 I治疗创造有利条件
Objective To investigate the clinical value of total thyroidectomy in the treatment of thyroid cancer. Methods From 1985 to 2000, 87 cases of thyroid cancer underwent total thyroidectomy by the same surgeon. Their complications and postoperative 131 I treatment were retrospectively analyzed. Results Postoperative observation showed that there were 2 cases (2.3%) of recurrent laryngeal nerve injury, 1 case (1.1%) of hypocalcemia, no permanent recurrent laryngeal nerve injury or hypocalcemia, no death. Eighty-four patients were followed up for a mean follow-up of 5 years. There were 82 patients (97.6%) surviving without disease, of which 58 were selectively treated with 131I (70.7%, 58/82). Conclusions Total thyroidectomy is a safe and effective surgical method for the treatment of thyroid cancer. It can completely remove the potential metastatic lesions of malignant tumors in the gland and create favorable conditions for the treatment of 131 I