Effect of central lymph node dissection on the clinical efficacy and prognosis in treating differentiated thyroid carcinoma patients
10.7619/jcmp.201803017
- VernacularTitle:中央淋巴结清扫术治疗分化型甲状腺癌的临床疗效及预后分析
- Author:
Ke ZHOU
1
;
Junfeng PAN
;
Binbin LONG
;
Wenfang LI
;
Geng WANG
Author Information
1. 湖北省十堰市太和医院湖北医药学院附属医院
- Keywords:
central lymph node dissection;
differentiated thyroid carcinoma;
clinical efficacy;
quality of life
- From:
Journal of Clinical Medicine in Practice
2018;22(3):63-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of central lymph node dissection on the clinical efficacy and prognostic quality of life for differentiated thyroid carcinoma patients.Methods A total of 100 differentiated thyroid carcinoma patients in our hospital for unilateral thyroidectomy and isthmus,contralateral resection underwent central lymph node dissection were as research objects.The lymph node metastasis rate of the patients was statistically analyzed,and the related factors,prognostic quality of life were observed and analyzed.Results Lymph node metastasis was correlated to age and tumor diameter (P < 0.05).Patients in Ⅵ area had the highest rate of metastasis among 100 patients with central lymph node dissection,which showed a significant difference (P < 0.05).Recurrent laryngeal nerve,surrounded by thyroid papillary carcinoid tissue,was injured in 1 patient,and there were 4 cases with subcutaneous hemorrhage,5 with hoarseness.All were discharged after treatment,and there were no died and tracheal collapse patients.The quality of life score was significantly higher than preoperation (P < 0.05).Conclusion Central lymph node dissection can eliminate lymph node and occult lymph nodes with high metastasis rate,and improve the quality of life of differentiated thyroid cancer patients.