CAJ | 학술논문

目的探讨分化型甲状腺癌复发的可能原因.方法对56例复发的分化型甲状腺癌患者的临床资料进行回顾性分析,总结引起复发的可能原因.结果 t检验结果显示,年龄、初次手术方式、病理类型及术后服药、放射性核素治疗对复发均有影响(P＜0.05),而性别对分化型甲状腺癌复发无明显影响(P=0.240);首次手术方式中单侧腺体切除对复发有影响(P =0.006),双侧腺体切除对复发无明显影响(P=0.153).多因素分析结果显示,首次手术方式是影响复发的独立影响因素(P＜0.05).结论复发可能性大的分化型甲状腺癌患者,应加强定期随访,如确诊复发,需积极采取规范的方式治疗.
목적 탐토분화형갑상선암복발적가능원인.방법 대56례복발적분화형갑상선암환자적림상자료진행회고성분석,총결인기복발적가능원인.결과 t검험결과현시,년령、초차수술방식、병리류형급술후복약、방사성핵소치료대복발균유영향(P＜0.05),이성별대분화형갑상선암복발무명현영향(P=0.240);수차수술방식중단측선체절제대복발유영향(P =0.006),쌍측선체절제대복발무명현영향(P=0.153).다인소분석결과현시,수차수술방식시영향복발적독립영향인소(P＜0.05).결론 복발가능성대적분화형갑상선암환자,응가강정기수방,여학진복발,수적겁채취규범적방식치료.
Objective To investigate the risk for recurrent thyroid carcinoma.Methods Clinical data of 56 cases of recurrent thyroid carcinoma were retrospectively analyzed and summarized possible causes of relapse.Results Student's test revealed that age,initial operative approach,pathological types,postoperative medication and radionuclide therapy were associated with recurrence (P ＜ 0.05),but gender was not associated with recurrence (P =0.240),and resection of single gland was associated with recurrence (P =0.006),but resection of both gland was not so (P =0.153).Multivariate analysis indicated that initial operative approach was the dependent factors for recurrence(P ＜ 0.05).Conclusion Some patients that prone to recurrence should be strengthened regular follow-up.Standard treatment should be used for The recurrences diagnosed.