263例甲状腺癌手术分级管理的回顾性调查  

A Retrospective Survey on Surgical Grading for 263 Cases with Thyroid Cancer

作　　者：周彩虹[1] 唐平章[1] 杨剑[1] 张力建[2] 刘爱民[3] 王艾[1] 

机构地区：[1]中国医学科学院肿瘤医院肿瘤研究所,北京100021 [2]北京市肿瘤医院肿瘤研究所,北京100142 [3]北京协和医院,北京100730

出　　处：《中国肿瘤》2011年第6期436-440,共5页China Cancer

基　　金：首都医学发展科研基金项目(2005-1041)

摘　　要：[目的]回顾性调查甲状腺癌手术分级实施情况,为完善肿瘤外科手术分级管理制度提供参考。[方法]随机抽取2004年甲状腺癌手术患者263例进行术者职称与手术等级、分期和转归等分析,并收集专家评定甲状腺癌手术分级和手术准入资质等意见。[结果]调研的263例甲状腺癌术者主任医师占56.65%,副主任医师占37.26%,主治医师占6.08%。主任医师和副主任医师主要采用单侧腺叶切除+峡部切除术(分别占35.57%和47.96%),主治医师主要采用单侧腺叶切除术和甲状腺全切术(各占25.00%)。综合医院手术定级标准略高于专科医院。[结论]3所医院均实施了手术分级管理制度,但手术名称和手术分级标准及准入制度有待改进,应结合医院级别类别完善肿瘤外科手术分级管理体系。[Purpose] To investigate the implementation of surgery grading for thyroid cancer,and to provide reference for improving cancer surgery grading system.[Methods] Two hundred and sixty-three cases with thyroid cancer were investigated from inpatients in 2004.The data about chief surgeons,surgical grades,stages and outcomes were analyzed.Assessment from experts was collected on thyroid cancer surgery grade and access and so on.[Results] Surgeon of chief physician accounted for 56.65% in 263 cases of thyroid cancer surgery,deputy chief physician accounted for 37.26%,and attending physician accounted for 6.08%.Chief physician mainly performed unilateral gland resection（35.57%）;deputy chief physician,unilateral gland and the isthmus of resection（47.96%）;and attending physician,unilateral gland resection and total thyroidectomy（25.00% respectively）.The grading standards in general hospitals are slightly higher than those in special hospital.[Conclusion] Three hospitals had implemented the surgical grading system,but the operation term and surgical grade standards and access system need to be improved.Surgical grading system should be combined with hospital grading system.

关 键 词：甲状腺癌 手术分级 回顾性调查 

分 类 号：R736.1[医药卫生—肿瘤]