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目的:探讨在cNO甲状腺乳头状癌中常规行中央区淋巴结清扫术的临床意义。方法:对97例cNO甲状腺乳头状癌行甲状腺病灶根治性切除,同时行患侧中央区淋巴结清扫术,清扫标本常规送病理检查。结果:中央区淋巴结阳性率46.39%。原发灶侵犯包膜、癌灶>1cm者及年龄在45岁及45岁以上者阳性率显著升高,分别为63.04%,59.26%和72.00%。97例均无喉返神经损伤、永久性低钙抽搐等并发症发生。结论:cNO甲状腺乳头状癌常规行中央区淋巴结清扫术是必要的、安全的、可行的处理方式。
Objective: To investigate the clinical significance of routine central lymph node dissection in cNO thyroid papillary carcinoma. Methods: 97 cases of cNO thyroid papillary carcinoma were treated by radical resection of thyroid gland lesion, while lymphadenectomy was performed in the central region of the affected side. The specimens were routinely sent for pathological examination. Results: The positive rate of central lymph node was 46.39%. The primary lesions invaded the capsule, the tumor size> 1cm and the age of 45 years old and 45 years old were significantly higher positive rates were 63.04%, 59.26% and 72.00%. 97 cases without recurrent laryngeal nerve injury, permanent low calcium convulsions and other complications. Conclusions: Conventional cNO thyroid papillary carcinoma is a necessary, safe and feasible treatment for central lymph node dissection.