作　　者： (秦建武）; (张松涛）;

机构地区： 郑州大学附属肿瘤医院河南省肿瘤医院甲状腺外科,450000

出　　处： 《中华外科杂志》 2017年第8期579-581,共3页

摘　　要： 近年来,随着甲状腺肿瘤发病率的升高及基层医院甲状腺手术的广泛开展,临床上需要再次手术的甲状腺肿瘤患者比例持续增高.尽管需要再次手术的原因各不相同,但与首次手术相比,再次手术会增加术后严重并发症的风险,无疑对医师的手术方案制定和操作技巧提出了新的挑战.非首次甲状腺手术策略的制定应充分考虑手术的获益和风险,尽量在规范化治疗的基础上选择个体化治疗,力求达到完善手术、肿瘤根治与功能保护、提高生存质量的和谐统一,低年资的医师应谨慎施行. In recent years,with the improvement of the incidence of thyroid tumors and the extensive development of thyroid surgery in primary hospitals,the proportion of thyroid cancer patients requiring reoperation has continued to increase.In spite of different reasons of reoperation,the risk of serious complications will increase after reoperation compared with first operation.Undoubtedly,the doctors will have to face new challenges to make more appropriate surgery program.Before reoperation,both the operation benefits and the corresponding risks should be considered comprehensively.As far as possible,the individual treatment should be recommended on the basis of standardized treatment,and it will be better to strike a balance between radical surgery and function protection.Consequently,low-grade doctors should be cautious to perform these reoperations.

关 键 词： 甲状腺肿瘤 再次手术 并发症 手术策略