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目的探讨VI区淋巴结清扫术应用于分化型甲状腺癌的疗效及临床分析。方法 2010年7月至2012年7月期间,我院诊治的20例分化型甲状腺癌患者,全部实施腺叶切除,以及VI区淋巴结清扫术,对其临床资料进行回顾性分析。结果 20例乳头状甲状腺癌患者,术后2例患者出现短暂性声嘶、音调改变,术后半年内恢复,1例患者术后出现手足麻木症状,口服钙剂后症状缓解,没有1例患者出现饮水呛咳等喉上神经损伤等严重并发症。平均随访1年,患者术后恢复良好,没有发现肿瘤病灶的转移情况。结论对于分化型甲状腺癌患者,VI区淋巴结清扫术疗效显著,值得临床推广。
Objective To investigate the efficacy and clinical analysis of regional lymph node dissection in differentiated thyroid cancer. Methods From July 2010 to July 2012, 20 patients with differentiated thyroid cancer who were diagnosed and treated in our hospital were all undergone lobectomy and lymph node dissection in area VI, and their clinical data were retrospectively analyzed. Results In 20 cases of papillary thyroid carcinoma, transient hoarseness and tonal tone were observed in 2 patients after operation and recovered within 6 months after operation. One patient had symptoms of numbness of hands and feet, relief of symptoms after oral administration of calcium, and none of the patients Occurrence of drinking water cough and other laryngeal nerve injury and other serious complications. After a mean follow-up of 1 year, the patients recovered well and no tumor metastasis was found. Conclusion For patients with differentiated thyroid cancer, lymph node dissection in VI is effective and worthy of clinical promotion.