中国全科医学2016，Vol.19Issue(24)：2880-2883,4.DOI:10.3969/j.issn.1007-9572.2016.24.002
甲状腺微小结节和甲状腺微小癌的临床病理关系及影响因素研究
Clinical Pathological Relationship Between Micro Thyroid Nodules and Thyroid Microcarcinoma and Influencing Factors for Thyroid Microcarcinoma
徐雷 1李仕亮 2杨旭 2邵国安 2刘晓晴3
作者信息
- 1. 830011 新疆乌鲁木齐市，新疆医科大学研究生学院
- 2. 新疆医科大学第五附属医院普外科
- 3. 宁夏医科大学第一附属医院
- 折叠
摘要
Abstract
Objective To analyze the clinical pathological characteristics of micro thyroid nodules in order to improve the diagnosis and treatment,and to timely detect thyroid microcarcinoma(TMC). Methods A retrospective analysis of 108 patients with thyroid nodules who underwent ultrasound examination from the Fifth Affiliated Hospital of Xinjiang Medical University from 2011 to 2013 and were diagnosed as grade 3 or 4a according to TI - RADS grading standards. After clinic and phone call follow - up till September 2015,disease conditions of patients at the end of follow - up were taken as the outcome events statistical analysis,developing to TMC or benign micro thyroid nodule. The following details were recorded:gender,age, if combined with other thyroid diseases when discovered firstly through ultrasound,numbers of nodule,if it was multicenter tumor,TI - RADS grading and if taking TSH regularly,analyzing its relevance to TMC. Results There were disease progression for 23 cases during follow - up and they were diagnosed as TMC after surgery. Differences regarding gender,age,number of nodule,if it was multicenter tumor and TI - RADS grading between TMC and benign thyroid micro nodule were statistical significance(P ﹤ 0. 05);differences regarding if combined with other thyroid diseases and if taking TSH regularly between them were not statistical significance( P ﹥ 0. 05) . Multivariste Logistic regression analysis showed that male,multiple nodules, multicenter tumor and 4a grade according to TI - RADS grading were risk factors for TMC. Conclusion nodules,multicenter tumor and 4a grade according to TI - RADS grading are closely related to TMC. High risk factors patients with micro thyroid nodules should be treated with active operation.关键词
甲状腺肿瘤/甲状腺结节/危险因素/TI - RADS 分级Key words
Thyroid neoplasms/Thyroid nodule/Risk factors/TI - RADS grading分类
医药卫生引用本文复制引用
徐雷,李仕亮,杨旭,邵国安,刘晓晴..甲状腺微小结节和甲状腺微小癌的临床病理关系及影响因素研究[J].中国全科医学,2016,19(24):2880-2883,4.
