关键词: 选择性颈部淋巴结清扫, 甲状腺癌根治术, 颈部淋巴结, 转移, 并发症

Abstract:

Objective To study the effect of selective cervical lymph node dissection during radical thyroidectomy. Method A total of 50 patients with thyroid cancer who were admitted to the Red Star Hospital of the 13th Division of Xinjiang Production and Construction Corps from August 2019 to August 2021 were selected and divided into the control group and the research group according to the random number table method, 25 cases in each group. The control group received radical thyroidectomy. Radical thyroid cancer surgery + selective cervical lymph node dissection was used in the research group, and the cervical lymph node metastasis and complications were compared between the two groups. Result The rate of cervical lymph node metastasis in the study group (16.00%) was lower than that in the control group (44.00%), and the difference was significant (χ2=4.667, P=0.031). The incidence of complications in the study group (8.00%) was lower than that in the control group. group (12.00%), the difference was not significant (χ2=0.222, P=0.637). Conclusion Selective cervical lymph node dissection in radical thyroidectomy can reduce postoperative lymph node metastasis and reduce the risk of complications.

Key words: Selective cervical lymph node dissection, Radical thyroidectomy, Cervical lymph nodes, Metastasis, Complications