甲状腺癌淋巴结清扫有必要吗？
<div style="color: black; text-align: left; margin-bottom: 10px;"><a style="color: black;"><span style="color: black;"><span style="color: black;">甲癌手术时，淋巴结清扫有必要吗？</span><span style="color: black;">3239 播放 · 0 赞同<span style="color: black;">视频</span></span></span><span style="color: black;"><img src="https://pic2.zhimg.com/v2-27f485925e98af27c64111e933ba8c95_r.jpg?source=2231c908" style="width: 50%; margin-bottom: 20px;"><span style="color: black;"><span style="color: black;"></span></span></span></a></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌手术时，淋巴结清扫有必要吗？ </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">关于淋巴结清扫这个问题，以最<span style="color: black;">平常</span>的乳头状癌为例，中央区的淋巴结清扫是一个常规，淋巴结<span style="color: black;">通常</span>的分简单中央区和侧颈区，中央区清扫是一个常规，<span style="color: black;">为何</span>呢？像微小的乳头状癌，即便在术前超声<span style="color: black;">无</span>看到可疑的淋巴结的时候，术后的病理<span style="color: black;">亦</span>有百分之三十到百分之四十<span style="color: black;">这般</span>一个转移率，<span style="color: black;">因此</span>这是一个常规。之前<span style="color: black;">亦</span>提过滤泡样癌<span style="color: black;">显现</span>淋巴结转移的机会少，<span style="color: black;">因此</span><span style="color: black;">能够</span>不<span style="color: black;">做为</span>常规的来清扫。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">侧区的淋巴结是<span style="color: black;">这般</span>的，<span style="color: black;">由于</span>侧区的淋巴结，<span style="color: black;">通常</span>不做预防性的清扫，<span style="color: black;">亦</span><span style="color: black;">便是</span>说<span style="color: black;">倘若</span>在术前判断<span style="color: black;">无</span>转移，不做预防性清扫。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span>临床经验来看，术前的<span style="color: black;">精细</span>诊断是非常<span style="color: black;">要紧</span>的，<span style="color: black;">这般</span>能够避免两种<span style="color: black;">状况</span><span style="color: black;">显现</span>，一种<span style="color: black;">状况</span>是<span style="color: black;">无</span>淋巴结转移做了清扫，最后留一个很大的口子，病人的创伤很大，<span style="color: black;">然则</span>最后术后大病理却<span style="color: black;">发掘</span>一个淋巴结转移<span style="color: black;">亦</span><span style="color: black;">无</span>，这<span style="color: black;">便是</span>过头了；还有<span style="color: black;">另一</span>一种错误的做法术前<span style="color: black;">已然</span>有淋巴结转移了，<span style="color: black;">然则</span><span style="color: black;">无</span>做到<span style="color: black;">精细</span>的<span style="color: black;">评定</span>，<span style="color: black;">无</span>做颈部清扫，<span style="color: black;">这般</span>会<span style="color: black;">引起</span><span style="color: black;">病人</span>在<span style="color: black;">将来</span>要接受二次手术。</p>
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