摘要目的 探讨甲状腺微小癌的合理切除范围.方法 总结46例甲状腺微小癌切除范围.其中行甲状腺一侧全切+对侧次全切28例,甲状腺双侧叶次全切8例,甲状腺一侧叶全切及部分切除术3例,甲状腺一侧叶全切+同侧颈部淋巴结清扫+对侧次全切7例.结果 术后均痊愈出院,随访1～5年,2例分别于术后3年及4年复发,余均未见复发及转移,无1例死亡.结论 甲状腺微小癌合理的手术范围是患侧叶全切+峡部切除+对侧叶次全切除术.

abstractsObjective To discuss the appropriate excision area of the thyroid microcacinoma. Methods 46 patients with thyroid microcarcinoma confirmed by pathology result were analyzed, in which 28 patients under-went thyroid lobectomy of lesion side and subtotal lobectomy of the other;8 patients were treated with subtotal lo-bectomy of both side;3 patients were treated with lobectomy of one side and partial resection of the other, while the rest 7 patients underwent the surgery of lesion side lobectomy and neck dissection plus subtotal lobectomy of the other side. Results No complicaitons were observed. All patients were follow-uped for 1 ～ 5 years. 2 patients were disgnosed as recurrance 3 years and 4 years after the operation respectively. The rest survived without recur-rance. Conclusions The appropriate surgery approach for thyroid microcacinoma might be lesion side lobectomy and subtotal lobectomy of the other side.