| 张昊1 高黎黎2 薛会朝1 李泽信1 李荣3△.425 例结节性甲状腺肿患者术后复发影响因素的分析[J].,2012,12(10):1920-1922 |
| 425 例结节性甲状腺肿患者术后复发影响因素的分析 |
| The Influential Factors to Postoperative Recurrence in 425 Cases withNodular Goiter |
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| DOI： |
| 中文关键词: 结节性甲状腺肿 复发 影响因素 |
| 英文关键词: Nodular goiter Recurrence Influential factors |
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| 中文摘要: |
| 目的：探讨结节性甲状腺肿复发的影响因素。方法：分别对本院425 例结节性甲状腺肿患者随访1 年至8 年；采用SPSS 软件
对复发相关因素进行单因素和多因素Logistic 回归分析。结果：随访患者中有39 例复发，复发率为9.18%。分析结果显示，两侧甲
状腺结节数量越多，结节性甲状腺肿复发率越高(OR=2.631)，双侧结节性甲状腺肿患者比单侧患者复发率高(OR=2.758)，与接受
正规替代治疗者相比，未接受替代治疗及接受非正规替代治疗者更易复发(OR=7.577/4.151)，与单纯结节切除术相比，一侧加峡部
全切、对侧部分/ 次全切除术术后复发率低(OR=0.209)。结论：结节性甲状腺肿患者术后复发率较高，针对上述各种影响因素，在
临床上相应的治疗措施可有效预防结节性甲状腺肿的复发。 |
| 英文摘要: |
| Objective: To discuss the influential factors of the recurrence of nodular goiter. Methods: 425 cases of nodular goiter
were followed up 27.5 months on average (range, 12-96 months) retrospectively in hospital. The data of questionnaire was analyzed by
logistic regression analysis by using SPSS software. Results: There were 39 cases with recurrence of nodular goiter. The results
demonstrated the quantity of nodular correlated with the the recurrence rate positively (OR=2.631) and the location of nodular also
influenced the rate (OR=2.758); Compared with regular succedaneous therapy, the recurrence rate of those cases with irregular
succedaneous therapy and no succedaneous therapy was higher (OR=4.151/7.577); Total one side plus isthmic and subtotal/partial
heterolateral thyroidectomy had lower recurrence rate (OR=0.209). Conclusion: The recurrence rate of nodular goiter was higher, we
could prevent the recurrenc by taking some special measures. |
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