分化型甲状腺癌术后规范化风险评估  

Postoperative standardized risk stratification of differentiated thyroid cancer

作　　者：李新营[1] 王文龙[1] LI Xinying;WANG Wenlong(Department of Thyroid Surgery,Xiangya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院甲状腺外科,湖南长沙410008

出　　处：《邵阳学院学报（自然科学版）》2019年第1期75-79,共5页Journal of Shaoyang University：Natural Science Edition

基　　金：国家自然科学基金(81672885)

摘　　要：术后风险分层是分化型甲状腺癌(differentiated thyroid cancer,DTC)患者个体化管理的基石和精髓,包括首次风险评估和动态风险评估。首次风险评估作为一种静态的、单时点病情评估,不能反应病情长时间变化,存在一定的局限性。而随访期动态风险评估作为一种动态、持续性评估系统,是实现患者个体化治疗的前提。本研究总结了首次风险评估及随访期动态风险评估的分层特点,为DTC患者科学化、个体化术后管理提供可靠依据。Postoperative risk stratification is the cornerstone and essence of individualized management of differentiated thyroid carcinoma(DTC)patients,including initial risk stratification and dynamic risk stratification.As a static and single time point stratification,the initial risk stratification has some limitations as it can not reflect the long-term changes of the disease.In contrast,as a dynamic and continuous evaluation system,dynamic risk stratification during follow-up is the premise of individualized treatment.This study summarized the characteristics of stratification of the initial and dynamic risk assessment during the follow-up period,which would provide a reliable basis for the scientific and individualized management of postoperative patient of DTC.

关 键 词：分化型甲状腺癌 风险分层 个体化治疗 

分 类 号：R736.1[医药卫生—肿瘤]