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分化型甲状腺癌术后规范化风险评估

Postoperative standardized risk stratification of differentiated thyroid cancer

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【作者】 李新营王文龙

【Author】 LI Xinying;WANG Wenlong;Department of Thyroid Surgery,Xiangya Hospital,Central South University;

【机构】 中南大学湘雅医院甲状腺外科

【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。

【Abstract】 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.

【基金】 国家自然科学基金(81672885)
  • 【文献出处】 邵阳学院学报(自然科学版) ,Journal of Shaoyang University(Natural Science Edition) , 编辑部邮箱 ,2019年01期
  • 【分类号】R736.1
  • 【下载频次】209
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