纳米碳混悬液在甲状腺乳头状癌中央区淋巴结清扫中的应用效果

    Application effect of nano-carbon suspension in cleaning the central lymph nodes in papillary thyroid carcinoma

    • 摘要: 目的:探讨甲状腺乳头状癌中央区淋巴结清扫中应用纳米碳混悬液的临床效果。方法:选择甲状腺乳头状癌病人40例作为研究对象,采用随机数字表法分为观察组和对照组,各20例。观察组病人术中使用纳米碳混悬液,对照组术中不使用混悬液,对2组病人淋巴结清扫情况及甲状旁腺激素水平进行比较。结果:观察组病人清扫淋巴结总数221枚,其中淋巴结黑染率为97.29%(215/221);对照组淋巴结总数为165枚。观察组阳性淋巴结比例、<0.3 cm淋巴结比例和平均淋巴结检出数均明显高于对照组(P<0.01)。2组病人术前血钙和甲状旁腺激素水平差异均无统计学意义(P>0.05);术后1 d,2组甲状旁腺激素水平和对照组血钙水平均较术前降低(P<0.05~P<0.01),观察组血钙和甲状旁腺激素水平均明显高于对照组(P<0.01)。结论:纳米碳混悬液应用于甲状腺乳头状癌中央区淋巴结清扫,可提高中央区淋巴结清扫彻底性,保护甲状旁腺功能,值得临床推广。

       

      Abstract: Objective:To investigate the clinical effects of nano-carbon suspension in cleaning the central lymph nodes in papillary thyroid carcinoma.Methods:Forty patients with papillary thyroid carcinoma were randomly divided into the observation group and control group by the random number table method(20 cases each group).The observation group and control group were treated with and without nano-carbon suspension,respectively.The lymph node dissection condition and parathyroid hormone level between two groups were compared.Results:Two hundred and twenty-one lymph nodes were dissected in observation group,and the staining rate of lymph node in observation group was 96.67%.One hundred and sixty-five lymph nodes were dissected in control group.The ratio of positive lymph node,ratio of lymph node with diameter <0.3 cm,average detection rate of lymph node in observation group were higher than those in control group(P<0.01).There was no statistical significance in the preoperative serum levels of calcium and parathyroid hormone between two groups(P>0.05).After 1 day of operation,the serum levels of parathyroid hormone in two groups and calcium level in control group decreased compared with before operation(P<0.05 to P<0.01),and the serum levels of calcium and parathyroid hormone in observation group were significantly higher than those in control group(P<0.01).Conclusions:The application of nano-carbon suspension in cleaning the central lymph node of papillary thyroid carcinoma can improve the completeness of cleaning,protect the parathyroid gland function,which is worthy of promotion.

       

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