目的

分析甲状腺癌二次手术的原因，总结首次手术、二次手术的处理经验。

方法

对15例二次手术的甲状腺癌进行分析。

结果

第一次手术的残癌率为46.6%，二次手术并发症较首次手术明显为高。

结论

甲状腺癌首次处理中的误诊、漏诊，术后癌残留及术式不当是导致二次手术的原因。应注意二次手术术式的合理性。

Objective

To analyze the reason of reoperation for thyroid carcinoma，to summarize the experience of primary surgery and reoperation.

Methods

Reoperative reasons of 15 cases were analyzed.

Results

Residual cancer rate of primary operation was 46.6%，postoperative complications were obviously higher than primary surgery.

Conclusion

Misdiagnosis，missed diagnosis，postoperative residual cancer and the extent insufficiency of primary surgery were the reasons of reoperation and the reoperation should be reasonable.