摘要
Abstract
Objective To study the clinical patho-feature,diagnosis and treatment of thyroid carcinoma,and provide references for improving the prognosis of thyroid carcinoma.Metbods The clinical and clinicopathologic data of 344 patients with thyroid carcinoma treated at our hospital from January 1998 to December 2008 were analyzed retrospectively.The diagnosis of all patients was confirmed with surgery and pathlogy.They were followed up for period ranging between the time from 11 months to 12 years.Kaplan-Meier method,Log-lang test were used to analyze the prognostic variables of thyroid carcinoma by SPSS 13.0 soft wares,P<0.05 was considered statistically significant.Results The ratio for man to women was 1:2.8,there was a significant difference for gender.The peak age of thyroid malignant carcinoma was between 21～40 years old,the average age was 39.4 years old.The main pathological type was differentiation thyroid carcinoma,it was account for 89.0%.The papillary carcinoma was about 82.0% in differentiation thyroid carcinoma.The incidence of the postoperative complications in the total thyroidctomy group was higher than that in the other thyroidectomy group(P<0.05),There were not any significant difference of the rate of the local recurrence and metastasis between two groups(P>0.05).Gender,age,tumor size,infiltration,clinicopathological stage were main factors that influenced the prognosis of thyroid carcinoma.Conclusions The operation was the main treatment.The operation modes should be individualized according to TNM stages,location,size and the situation of lymph metastasis.Gender,age,tumor size,infiltration,clinicopathological stage were the main factors that influenced the prognosis of thyroid carcinoma.关键词
甲状腺癌/外科治疗/预后Key words
Thyroid carcinoma/Clinical treatment/Prognosis分类
医药卫生
