甲状腺恶性肿瘤预后相关因素研究  

The prognostic factors in thyroid malignant tumor

作　　者：金涛[1] 李金平[1] 张朝林[1] 

机构地区：[1]宁夏医学院附属医院肿瘤外科,宁夏银川750004

出　　处：《陕西肿瘤医学》2001年第1期17-19,共3页ShanXi Oncology Medicine

摘　　要：目的　研究甲状腺恶性肿瘤术后死亡病例的致死原因。方法　对 32年来诊治的 35 6例甲状腺恶性肿瘤及 2 2 7例随访资料进行综合分析。结果　 2 2 7例甲状腺恶性肿瘤的 3、5、10年生存率分别是 91%、83 3%及 80 2 %。死亡率是 19 8(45 / 2 2 7) ,因肿瘤致死者中 84 4% (38/ 45 )死于术后 5年以内。分化型癌死亡率是 15 % (31/ 2 0 6 ) ,其它类型为 93% (14/ 15 ) ,Ⅲ期以上病例为 82 2 % (37/ 45 ) ,行根治手术者为 31 3(14/ 45 )。结论　影响术后甲状腺恶性肿瘤预后的主要因素是肿瘤的病理类型和临床分期 ,早期诊断和合理的手术是提高生存率的关键。Objective To study the lethal cause of thyroid malignant tumor postoperation.Methods The clinical condition, pathology of 356 cases and follow-up data of 227 cases of thyroid malignant tumor postoperativly during 32 years was comprehensively analyzed.Results The survival rates of 3-year, 5-year and 10-year in 227cases of thyroid malignant tumor were 91%, 83% and 80.2%, respectively. The dead cases was 19.8%(45/227),84.4%(38/45) dead in 5 years after operation. The mortality of differentiated cancer was 15%(31/206), and 93%(14/15) was found in other types. The death rate in the third phase was 82.2%(37/45), the radical rate was 31.1(14/45).Conclusion The prognosis was mainly affected by the pathologic types and clinical stage of malignant thyroid tumor. Diagnosis in early stage and reasonable surgery(the time and type of operation) are important for increasing survival rates.

关 键 词：甲状腺恶性肿瘤 预后 相关因素 临床分期 生存率 

分 类 号：R736.1[医药卫生—肿瘤]