本文選題：分化型甲狀腺癌 + 甲狀腺乳頭狀癌��； 參考：《中國實(shí)用外科雜志》2017年09期

【摘要】：分化型甲狀腺癌(DTC)中甲狀腺乳頭狀癌(PTC)占絕大部分。PTC的重要特點(diǎn)是易出現(xiàn)頸部淋巴結(jié)轉(zhuǎn)移。合理、徹底處理頸部淋巴結(jié)轉(zhuǎn)移癌是治療DTC的重要環(huán)節(jié),目前的最佳治療手段是頸淋巴結(jié)清掃術(shù)。頸側(cè)區(qū)淋巴結(jié)轉(zhuǎn)移的術(shù)前評(píng)估推薦頸部超聲結(jié)合頸胸部增強(qiáng)CT。CT以薄層掃描為佳。對(duì)于碘造影劑過敏病人推薦頸部增強(qiáng)MRI檢查。頸側(cè)區(qū)淋巴結(jié)清掃(以下簡稱側(cè)頸清掃)的適應(yīng)證是細(xì)胞學(xué)或病理學(xué)檢查確診的頸側(cè)區(qū)淋巴結(jié)轉(zhuǎn)移,不推薦行預(yù)防性側(cè)頸清掃。側(cè)頸清掃的范圍應(yīng)包括Ⅱ(Ⅱa)、Ⅲ、Ⅳ、Ⅴb區(qū)。Ⅱ(Ⅱa)、Ⅲ、Ⅳ區(qū)是可接受的最小頸側(cè)區(qū)淋巴結(jié)清掃范圍。應(yīng)用最小頸側(cè)區(qū)淋巴結(jié)清掃范圍時(shí),應(yīng)特別注意Ⅱb區(qū)和Ⅴ區(qū)清掃的適應(yīng)證。在徹底手術(shù)切除基礎(chǔ)上,應(yīng)重視對(duì)于神經(jīng)和血管的保護(hù),以提高病人生活質(zhì)量。
[Abstract]:PTC is the most important part of the diagnosis of thyroid papillary carcinoma ( PTC ) in differentiated thyroid carcinoma ( DTC ) . The most important feature of PTC is that cervical lymph node metastasis is easy to occur . The best treatment method is cervical lymph node dissection . It is recommended that cervical lymph node dissection should be enhanced by cervical lymph node dissection . The scope of lateral neck dissection should include 鈪，

本文編號(hào)：1870685