Diagnosis And Treatment Of197Cases Of Differentiated Thyroid Cancer

Objective：To study the diagnosis and surgery of differentiated thyroidcancer and the prevention and treatment of surgical complications, providenew information and ideas tofurther improve clinical outcomes.Methods：The clinical data of197patients who underwent differentiatedthyroid cancer surgery from September2007to January2010wereretrospectively analyzed and followed up for2years to4years, the data wereanalyzed by statistic software SPSS16.0and the difference was statisticallysignificant ad P <0.05.Results：In this group statistical results showed that male and femaleincidence ratio was1:2.9, the average age was42.80±12.62years old and theage of high onset was31-50years old. The first symptom was cervical mass,accounting for90.4%. Preoperative color doppler ultrasound examinationfound nodular calcification in148cases (85.1%), in which gravel-like calcifica-tion in84cases (56.8%) and coarse calcification in64cases (43.2%). Totalthyroidectomy showed a significant higher incidence of surgical complicationscompared with other surgical procedures. Reoperation for thyroid cancer show-ed a significant higher incidence of surgical complications compared withinitial operation. Revealing recurrent laryngeal nerve can significantly reducedthe incidence of recurrent laryngeal nerve injury.The bigger tumor, the higherVI lymph node metastasis rate. Factors affecting the prognosisof thyroid cancerinclude: age, tumor size and clinical stage.Conclusion：Thyroid nodules with calcification should be suspected inthyroid cancer and need aggressive surgical treatment. The surgical procedureshould be choosed for a individualized surgical treatment for different groups of people based on the patient’s age, tumor size, with or without capsularinvasion, lymph node metastasis, divided into high-risk groups and low-riskgroups. Strictly control of the surgical indications for total thyroidectomy andalways routinely revealing recurrent laryngeal nerve could reduce theoccurrence of the recurrent laryngeal nerve damage.