ABSTRACT
Objective To explore the rule of papillary thyroid carcinoma lymph node metastasis,and provide the basis for cervical lymph node dissection in papillary thyroid carcinoma selective node.Methods The clinical data and follow-up results of 50 cases with thyroid papillary carcinoma were retrospectively analyzed.Results Average number of selective neck dissection was 4.2 cases,lymph node metastasis in 19 cases (38.0％),6 cases had postoperative complications(12.0％).The patients were followed-up for 4 years without recurrence or metastasis of thyroid cancer.4 cases during the follow-up period appeared neck lymph node metastasis,accounted for 8.0％.Conclusion Primary radical combined with selective neck dissection is an effective procedure for the treatment of Ⅰ,Ⅱ stage of thyroid papillary carcinoma.
ABSTRACT
Objective To explore the curative effects of operation in treatment of subacute thyroiditis.Methods The clinical data of 87 patients with subacute thyroiditis were retrospectively analyzed.According to the treatment methods,87 patients were divided into the operation group 39 cases and the medical treatment group(conservative group) 48 cases.Patients were followed up for 6 months after treatment.The clinical effect 1 week after the end of treatment was compared between the two groups.The thyroid functionat 6 months after the end of treatment was compared.Results The incidence rate of thyroid hyperfunction (hyperthyroidism) of the operation group was 33.33％,which was significantly higher than 8.33％ in conservative group,the difference was statistically significant (x2 =8.554,P =0.003).The effective rate of short-term treatment of operation group and the conservative group was 89.74％ and 93.75％,the difference was not significant (x2 =0.467,P =0.495).After 6 months of treatment,the normal rate of thyroid function between the two groups had no statistically significant difference(x2 =4.947,P =0.084).In the conservative group,3 cases were diagnosed as thyroid carcinoma complicated with hyperthyroidism.Conclusion For patients with refractory subacute thyroiditis or cannot exclude malignant tumors,operation can achieve good effect and less complications.