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由于超声和超声引导下细针穿刺活检技术的广泛应用,甲状腺癌检出率急剧上升。甲状腺乳头状癌(PTC)是其中最常见的病理学类型,其分化良好,具有生长缓慢、恶性程度低、侵袭性弱、预后良好等特点,恰当的手术方式能有效提高病人存活率,甚至达到临床治愈。PTC最常见的转移方式为颈部淋巴结转移,尤其是中央区淋巴结,转移率高达40%~60%~([1])。常规行中央区淋巴结清扫(CCD)对降低局部复发率、减少二次手术有重要意义,有利于PTC的根
Due to the extensive application of fine needle aspiration biopsy guided by ultrasound and ultrasound, the detection rate of thyroid cancer has risen sharply. Papillary thyroid carcinoma (PTC) is one of the most common histopathological types. It has well-differentiated features such as slow growth, low malignancy, weak invasion and good prognosis. Appropriate operation can effectively improve patient survival and even achieve Clinical cure. The most common transfer method for PTC is cervical lymph node metastasis, especially in the central lymph nodes, the transfer rate as high as 40% to 60% ~ ([1]). Conventional line central lymph node dissection (CCD) to reduce the local recurrence rate, reduce the importance of secondary surgery is conducive to the root of PTC