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目的 了解影响甲状腺癌复发的因素。方法 对 15 1例复发性甲状腺癌的临床资料进行回顾分析 ,观察可能影响复发的因素。结果 性别、年龄对甲状腺癌的复发无明显的影响 (P>0 .0 5 )。而肿瘤大小 ,病理分型 ,淋巴转移 ,手术方式及术后服药对复发均有影响 (P <0 .0 5 )。是否行颈部淋巴结清扫对复发无影响。结论 对于可能复发的甲状腺癌 ,应采取相应措施尽量减少复发 ,同时也不应盲目扩大手术范围。
Objective To understand the factors affecting the recurrence of thyroid cancer. Methods The clinical data of 15 cases of recurrent thyroid carcinoma were retrospectively analyzed, and the factors that may affect the recurrence were observed. Results The gender and age had no significant effect on the recurrence of thyroid cancer (P> 0.05). The tumor size, pathological type, lymphatic metastasis, surgical methods and postoperative medication have an effect on recurrence (P <0.05). Whether the neck lymph node dissection had no effect on the recurrence. Conclusion For the possible recurrence of thyroid cancer, should take appropriate measures to minimize recurrence, but should not blindly expand the scope of surgery.