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目的探讨甲状腺癌再次手术的原因及治疗方法。方法对2006年8月至2010年12月我院25例甲状腺癌再次手术患者临床资料进行回顾性分析。结果行甲状腺次全切除+淋巴清扫术22例,行甲状腺全切除+淋巴清扫术3例,2例发生喉返神经损伤,其余患者均顺利结束手术。除1例于术后3年出现对侧的淋巴结转移,无患者复发和转移。结论误诊是甲状腺癌再次手术的主要原因,必须提高诊断的准确率,推广术中快速冰冻病理检查的方法,为选择合适的术式提供重要的参考依据。
Objective To investigate the causes of reoperation of thyroid cancer and its treatment. Methods From August 2006 to December 2010 in our hospital 25 cases of re-thyroidectomy patients with clinical data were retrospectively analyzed. Results 22 cases of thyroidectomy + lymphadenectomy, thyroidectomy + lymphadenectomy in 3 cases, 2 cases of recurrent laryngeal nerve injury, the rest of the patients were successfully completed surgery. Except in 1 case, contralateral lymph node metastasis occurred 3 years after operation, and no recurrence and metastasis were found. Conclusions Misdiagnosis is the main reason for reoperation of thyroid cancer. It is necessary to improve the accuracy of diagnosis and promote the rapid frozen pathological examination during operation. It provides an important reference for selecting appropriate surgical procedures.