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对94 例分化型甲状腺癌再次手术,包括:甲状腺肿瘤摘除术后再行残叶加峡部切除18 例,7 例证实有癌残留;行选择性或治疗性颈清除术69 例,49 例有颈淋巴结转移;对8 例甲状腺微小癌作了颈淋巴结联合根治;7 例甲状腺癌根治后复发再次手术切除。认为再手术是必要的,应注意掌握适应证,重视原发灶切除范围,对侵出包膜、有淋巴结转移者应作颈清除,注意微小癌的诊治,对复发癌灶应给予再次手术机会,再手术需注意彻底切除病灶,保护喉返神经。
Ninety-four patients with differentiated thyroid cancer underwent reoperation, including: removal of residual tumor and isthmus after thyroid tumor resection in 18 cases, and 7 cases of confirmed residual cancer; selective or therapeutic neck dissection in 69 cases, 49 cases of neck Lymph node metastasis; on 8 cases of thyroid cancer made by cervical lymph node radical combined; 7 cases of thyroid cancer recurrence after radical resection. Re-operation is necessary, attention should be paid to indications, attention to the scope of resection of the primary tumor, the invasion of the capsule, lymph node metastasis should be neck clear, pay attention to the diagnosis and treatment of micro-cancer, recurrence of foci should be given a chance of reoperation Reoperation should pay attention to complete removal of the lesion, to protect the recurrent laryngeal nerve.