【摘要】：甲狀腺乳頭狀癌頸淋巴結轉移較常見,規(guī)范的頸淋巴結清掃術有利于降低局部復發(fā)率及再手術率并改善病人預后。然而由于頸部解剖結構復雜,如果術前評估不仔細,清掃范圍不規(guī)范,手術操作不熟練,某些部位的轉移淋巴結容易在手術中被遺漏而導致殘留。其中,位置較低的中央區(qū)淋巴結、右側喉返神經深面淋巴結、Ⅱb區(qū)淋巴結、位置深在的Ⅳ區(qū)淋巴結、Ⅴ區(qū)淋巴結、頸叢神經根間淋巴結、胸鎖乳突肌-胸骨舌骨肌間淋巴結和咽旁淋巴結是行頸淋巴結清掃術時容易被遺漏的轉移部位,而頸部增強CT掃描有利于術前轉移淋巴結的評估。熟悉容易遺漏的轉移淋巴結部位、準確的術前評估、規(guī)范的清掃范圍和嫻熟的手術技巧是減少頸淋巴結清掃術轉移淋巴結殘留的關鍵。
[Abstract]:Cervical lymph node metastasis is more common in papillary thyroid carcinoma. Standard cervical lymph node dissection is helpful to reduce the local recurrence rate and reoperation rate and improve the prognosis of the patients. However, because of the complex anatomical structure of the neck, if the preoperative evaluation is not careful, the scope of dissection is not standardized, and the operation is not skilled, the metastatic lymph nodes of some parts are easily left out in the operation and lead to residual. Among them, the lower central lymph nodes, the right deep recurrent laryngeal nerve lymph nodes, the 鈪，

本文編號：2312366