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作 者:吉小露 薛瑶 方拥军[1] Ji Xiaolu;Xue Yao;Fang Yongjun(Department of Hematology and Oncology,Children's Hospital of Nanjing Medical University,Nanjing210008,China)
机构地区:[1]南京医科大学附属儿童医院血液肿瘤科,210008
出 处:《国际儿科学杂志》2024年第11期749-752,共4页International Journal of Pediatrics
基 金:江苏省卫生健康委员会医学科研基金(ZDB2020018)。
摘 要:随着医疗技术的进步,癌症患儿的生活质量越来越受到重视。其中,内分泌疾病发病率逐年增加,而且癌症患儿的甲状腺疾病尤其引发关注。化疗、放疗和手术治疗一直以来都是癌症的主要治疗方案,新型免疫治疗和造血干细胞移植则为患儿带来了更大的生存希望。然而,这些治疗手段虽然可以缓解疾病,却无法避免对甲状腺造成的损害。因此,在治疗过程中,需要监测甲状腺功能,并制定规范的随访方案,以便及时发现甲状腺疾病。该综述对癌症患儿常见的甲状腺疾病、导致甲状腺损害的病因以及甲状腺健康管理进行阐述,旨在提高临床医师对癌症患儿继发甲状腺疾病的认知,及时发现异常并干预,从而改善患儿远期生活质量。With the advancement of medical technology,the quality of life of children with cancer is increasingly valued.In particular,the incidence of endocrine disorders is increasing year by year,and thyroid disorders in children with cancer have attracted more and more attention.The main treatment options for cancer are chemotherapy,radiation therapy and surgery.Immunotherapy and hematopoietic stem cell transplantation bring more hope for survival to children with cancer.Although these treatment methods can alleviate the disease,they cannot avoid causing damage to the thyroid gland.Therefore,in order to detect thyroid disorders in a timely manner,thyroid function needs to be monitored during treatment and a standardized follow-up plan needs to be developed.In this article,common thyroid disorders,risk factors and management of thyroid health are discussed.The aim is to improve physicians'understanding of thyroid diseases in children with cancer,detect abnormalities in a timely manner,and intervene to improve their long-term quality of life.
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