Kết quả phẫu thuật ung thư tuyến giáp thể nang

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Tác giả: Văn Quảng Lê, Xuân Hậu Nguyễn

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam) 2022

Mô tả vật lý: 28-31

Bộ sưu tập: Metadata

ID: 408624

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Chủ đề

Đánh giá kết quả phẫu thuật trong ung thư tuyến giáp thể nang tại bệnh viện K. Đối tượng và phương pháp: Nghiên cứu kết hợp hồi cứu và tiến cứu trên 48 bệnh nhân chẩn đoán ung thư biểu mô tuyến giáp thể nang được phẫu thuật tại bệnh viện K từ 1/2016đến 7/2020. Kết quả: Tỷ lệ bệnh nhân được phẫu thuật cắt toàn bộ tuyến giáp và cắt thùy +eo tuyến giáp là 75% và 25%, trong mỗi nhóm tỉ lệ vét hạch cổ kèm theo lần lượt là 66,7% và 0%. Phân loại giai đoạn bệnh chủ yếu là giai đoạn I (75%), giai đoạn IV chiếm 12,5%. Tổn thương thần kinh thanh quản quặt ngược và hạ canxi máu tạm thời là hai biến chứng hay gặp nhất sau phẫu thuật 72 giờ với tỉ lệ 14,6% và 18,8%, sau đó giảm dần. Có 1 bệnh nhân bị suy tuyến cận giáp vĩnh viễn sau 14 tháng theo dõi. Vét hạch cổ làm tăng nguy cơ hạ canxi sau mổ có ý nghĩa thống kê với p=0,024. Kết luận: Phẫu thuật ung thư tuyến giáp thể nang an toàn, hiệu quả, Tóm tắt tiếng anh, To evaluate the surgical outcomes of follicular thyroid cancer at K Hospital. Subjects and Methods: a retrospective combined with prospective cohort study of 48 follicular thyroid carcinoma patients treated by surgery at K Hospital from January 2016 to July 2020. Results: The percentage of patients who had undergone total thyroidectomy and lobectomy were 75% and 25%, in each group neck dissection had been performed in 66.7% and 0% respectively. Most patients had stage I postoperative (75%), 12.5% patients in stage IV. The most common complications were transient recurrent laryngeal nerve injury and hypocalcemia, with the incidence at 72 hours after surgery were 14.6% and 18.8%. One patient had been persistent hypoparathyroidism after 14 months of follow-up. Cervical lymph node dissection increased the risk of hypocalcemia postoperative significantly (p<
0.05). Conclusion: Surgery of follicular thyroid carcinoma is safe and effective.

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