The Analysis Of Surgical Treatment In 487 Cases Of Thyroid Carcinoma

Objective To investigate the diagnosis, treatment of thyroid carcinoma , prevention of the surgical complications and factors of the prognosis.Methods Clinical data of 487 cases of thyroid carcinoma were analyzed retrospectively from March 1990 to July 2006 in our hospital and were long-term followed up. All the data were analyzed with spss10.0 statistics software.Results 279 and 162 patients were diagnosed before and during operation, and all patients were pathological diagnosed after operation; Reoperation was performed in 140 patients and residual carcinoma tissue was found in 79 patients; 1, 3 and 5 years surviving rate of thyroid carcinoma after operation were 99.3%, 97.1% and 92.7% respectively; No death occurred in the 487 cases after operation in our hospital, 17 cases of whom showed temporary vocal cord paralysis and 2 cases showed permanent vocal cord paralysis and 14 cases showed tic or acroanesthesia due to hypocalcemia.Conclusions The thyroid nodule with calcification should be considered to be thyroid carcinoma, intra-operative frozen section is helpful for the diagnosis and the choice of operative methods. The first operation should be thought highly of, the two-side thyroidectomy operation should be limited as far as possible. Patients should take thyroxine tablets all their lives.