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[1]王晨光,刘永平,张鹏程,等.甲状腺癌再手术相关问题的探讨[J].医学研究与战创伤救治(原医学研究生学报),2010,12(05):404-406.
　WANG Chen-guang,LIU Yong-ping,ZHANG Pen-cheng,et al.Investigation of reoperation in thyroid carcinoma[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2010,12(05):404-406.
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甲状腺癌再手术相关问题的探讨()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第12卷
期数:
2010年05期
页码:
404-406
栏目:
出版日期:
2010-09-20

文章信息/Info

Title:
Investigation of reoperation in thyroid carcinoma
文章编号:
1672-271X(2010)05-0404-03
作者:
王晨光; 刘永平; 张鹏程; 叶玉祥
350002 福建福州，解放军476临床部普通外科
Author(s):
WANG Chen-guang;  LIU Yong-ping;  ZHANG Pen-cheng; YE Yu-xiang.
Department of General Surgery, 476 Clinical Branch of PLA,Fuzhou，Fujian 350002, China
关键词:
甲状腺肿瘤; 外科手术; 再手术; 癌
Keywords:
thyroid neoplasm;  surgery;  reoperation;  carcinoma
分类号:
R736.1
DOI:
-
文献标志码:
A
摘要:
目的 探讨甲状腺癌再次手术的必要性及手术方式。方法 总结1995年1月至2005年1月甲状腺切除术后诊断为甲状腺癌而进行再次手术治疗的75例临床资料。应用统计学处理分析手术情况及术后资料。结果 病理检查证实再手术患者肿瘤残留率为58.7%(44/75);并发症中喉返神经损伤5.3%;术前CT扫描的灵敏度为76.9%(20/26)。结论 甲状腺癌不规范手术的肿瘤残留率较高，慎重的再手术是必要的。对于再手术切除范围、术前检查灵敏度问题、手术时机及预防并发症等要引起重视。
Abstract:
Objective To investigate the necessity and modus of reoperation in thyroid carcinoma patients.Methods The 75 cases of thyroid carcinoma patients operated between 1995 and 2005 for reoperation were retrospectively analyzed.The data of operation and postoperation were statistically analyzed.Results Pathological results confirmed that there were 58.7% (44/75) cases with residual tumor.The rate of recurrent laryngeal nerve injury was 5.3%.The sensitivity of residual carcinoma detection by CT scan before operations was 76.9% (20/26).Conclusion The residual rate of reoperated patients with thyroid carcinoma was relatively high, and a cautious reoperation was necessary.However, we should pay more attention to the resection scope, the sensitivity of preoperative examination, operation time, and prevention of complications.

参考文献/References:

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[9]冯萍娟，蔡丽萍，刘桂苏.超声引导下甲状腺肿瘤穿刺组织活检对良恶性的诊断价值[J].东南国防医药，2008，10(1):47.
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备注/Memo

备注/Memo:
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更新日期/Last Update: 2010-09-20