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本文总结了放疗后发生的甲状腺乳头状癌的治疗方法,介绍了若干学者的观点。关于甲状腺乳头状癌的手术治疗,多年来外科医生们意见不一。Katj和Bronson主张对所有患者均行全甲状腺切除术,并认为甲状腺全切术与次全切术二者相比,其併发症基本相同。但多数外科医生施行甲状腺全切术时,做得不如次全切术那样安全。Foster分析了1970年的24,108例甲状腺手术,发现全切术的死亡率二倍于次全切术;全切术后,甲状旁腺机能减退、出血及声带麻痹等钟发症的发生率均较高;Foster认为,对于良性甲状腺肿或
This article summarizes the treatment of thyroid papillary carcinoma after radiotherapy and introduces the views of several scholars. Regarding the surgical treatment of papillary thyroid cancer, surgeons have been disagreeing for many years. Katj and Bronson advocate total thyroidectomy for all patients and believe that complications are essentially the same for both total thyroidectomy and subtotal resection. However, most surgeons are not as safe as subtotal resection when performing total thyroidectomy. Foster analyzed 24,108 cases of thyroid surgery in 1970 and found that the total resection had twice the mortality rate compared with subtotal resection. After total resection, the incidence of bell disease such as hypoparathyroidism, hemorrhage and vocal cord paralysis was higher. High; Foster believes that for benign goiter or