摘要
目的 探讨甲状腺癌再次手术治疗的原因及对策。方法 对1994-2004年我科10年收治的甲状腺手术后病理证实为甲状腺癌，需要再次手术治疗的34例临床病理资料进行回顾性分析。结果 21例再次手术的原因为将甲状腺癌误诊为甲状腺良性病变，手术切除范围不够；8例原因为首次术式选择不当，术后病理切片证实癌细胞残留；5例原因为甲状腺癌术后复发。随访27例，5年生存率为85．2％（23／27）。结论 甲状腺癌的误诊是造成甲状腺癌再次手术治疗的主要原因，提高术者对甲状腺癌的认识水平，强调术中快速冰冻检查在甲状腺手术中的常规应用，选用恰当的手术方式，是避免甲状腺癌再次手术的关键。
Objective To explore the main causes and managements of reoperation for patients with thyriod cancer. Methods From 1994 to 2004, 34 patients were admitted for thyroid reoperation due to thyroid cancers pathdogically confirmed after first operation. The clinical and,pathological data of them were here analyzed retrospectivdy. Results The causes of reopemtion were misdiagnosis of thyroid cancer as benign diseases （21 cases）, remnant of cancer cells due to unsuitable choice of first operation （8 cases）, and postoperative recurrence （5 cases）. 27 cases were followed up; the 5- year survival rate was 85.2% （23/27）. Conclusion Misdiagnosis of thyroid cancer is the main cause of reoperation for these patients. The key to avoid reoperation is to improve cognitive level for thyroid cancer, to emphasize the routine application of quick pathological diagnosis during operation of thyroid, and to select the suitable surgical method.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2006年第2期113-115,共3页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
甲状腺癌
再手术
复发
Thyroid cancer
Reoperation
Recurrence
作者简介
邱杰，男，主治医师，博士。通讯作者：邱杰，Email：wfqpeter2000@yahoo．com．cn．
