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extent of thyroidectomy
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  切除范围
     Objective: To study the alterations of the serum thyroid hormones in patients with multinodular goiter(MNG) before and after thyroidectomy, and to assess the relationship between time of starting and dosage of suppressive therapy, and the extent of thyroidectomy.
     目的:研究结节性甲状腺肿(甲肿)患者甲状腺切除术后血清甲状腺激素水平的变化,探讨术后抑制治疗的起始时间、剂量与腺体切除范围的关系。
短句来源
     Conclusion:Frozen section examination has value in diagnosing the thyroid nodular, and is capable of determination of the extent of thyroidectomy.
     结论:术中冷冻切片检查可以明确多数甲状腺结节的性质,对决定甲状腺手术中甲状腺的切除范围有一定价值。
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  “extent of thyroidectomy”译为未确定词的双语例句
     Study on the indication of the extent of thyroidectomy for well-differentiated neplasms
     分化型甲状腺癌手术切除范围指征的探讨
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  相似匹配句对
     On the Extent of Reaction
     化学反应进度
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     the prevalence and extent of Wushu;
     武术普及推广问题 ;
短句来源
     How about its extent?
     影响的程度怎样?
短句来源
     ⑶Combined extent.
     ⑶合并范围的各国差异。
短句来源
     Endoscopic thyroidectomy
     内镜相关甲状腺手术
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  extent of thyroidectomy
The extent of thyroidectomy for optimal survival outcome has not been determined scientifically.
      
Extent of Thyroidectomy Is Not a Major Determinant of Survival in Low- or High-Risk Papillary Thyroid Cancer
      
AMES risk classification and extent of thyroidectomy for well-differentiated thyroid cancer in the united states
      
In univariate analysis, type and extent of thyroidectomy, serum calcium levels at each time point, as well as the slope of change in serum total calcium levels between 8 and 14 hours were found to be significantly predictive of normocalcemia.
      
There was no statistical difference in relation to the extent of thyroidectomy or morbidity after initial surgery.
      
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Objective: To study the alterations of the serum thyroid hormones in patients with multinodular goiter(MNG) before and after thyroidectomy, and to assess the relationship between time of starting and dosage of suppressive therapy, and the extent of thyroidectomy. Materials and Methods: Twenty-six female patients with MNG were divided into unilateral resection group(UL, n=17) and bilateral resec-tion group(BLR, n=9). The thyroid function tests were done before, at day 5 and day 21 after thyroidec-tomy....

Objective: To study the alterations of the serum thyroid hormones in patients with multinodular goiter(MNG) before and after thyroidectomy, and to assess the relationship between time of starting and dosage of suppressive therapy, and the extent of thyroidectomy. Materials and Methods: Twenty-six female patients with MNG were divided into unilateral resection group(UL, n=17) and bilateral resec-tion group(BLR, n=9). The thyroid function tests were done before, at day 5 and day 21 after thyroidec-tomy. The changes of serum hormone levels were compared. Thyroid tablets were used to inhibit the secretion of TSH and the doses were regulated according to the level of serum sensitive thyrotropin(s-TSH). Results: Serum thyroxine(T4), free T4(FT4) in the UL group increased and s-TSH decreased sig-nificantly(P<0.01) at the day 5 post-operative, but there was no difference 3 weeks after operation compared with the pre-operative levels. The thyroid hormones decreased progressively after operation in BLR group, and T4 and FT4 lowered significantly after 3 weeks(P<0.05, respectively). The average dose of suppressive therapy was 42.67mg/d±12.79mg/d in UL and 67.5mg/d±14.9mg/d in BLR(P<0.01). Conclusions: There exists a difference in the degree of alteration of serum thyroid hormones after sur-gery between UL and BLR. It is more reasonable to start the suppressive therapy 2 weeks after thyroi-dectomy. UL patients need less suppressive exogenous thyroid hormone than those with BLR. The monitoring of s-TSH is helpful to decide the dose of thyroid tablets and to avoid incomplete or oversup-pression.

目的:研究结节性甲状腺肿(甲肿)患者甲状腺切除术后血清甲状腺激素水平的变化,探讨术后抑制治疗的起始时间、剂量与腺体切除范围的关系。对象与方法:26例女性甲肿患者分为单侧切除组(n=17)和双侧切除组(n=9),术前、术后第五天和术后3周分别检测血清甲状腺激素水平,配对比较前后变化。术后予甲状腺片对s-TSH作部分抑制治疗。结果:单侧切除组术后第五天,T_4、FT_4(P<0.05)较术前升高,s-TSH明显降低(P<0.01),但术后3周与术前比较无明显变化。双侧切除组术后甲状腺激素水平呈逐渐下降,至术后3周T_4、FT_4较术前明显降低(P<0.05)。两组服抑制剂量的甲状腺片分别平均为42.7mg/d±12.79mg/d和67.5mg/d±14.9mg/d(P<0.01)。结论:术后短期甲状腺激素水平变化与腺体切除范围有关。术后两周内不宜开始抑制治疗。单侧切除组所需抑制性外源甲状腺激素较双侧切除组量少,s-TSH水平监测有助于药量调整,以避免抑制不足或过分抑制。

Objective:To investigate the proper extent of thyroidectomy for well-differentiated neoplasms.Methods:The excisional extent of thyroid gland was made according to clinical staging and risk factors in 32 cases with well-differentiated thyroid carcinoma.Results:Clinical staging:stageⅠ23 cases,stageⅡ8 cases,stage Ⅲ0 cases,stage Ⅳ1 case;Malignant degree:low malignanacy 17 cases,moderate malignancy 13 cases,advanced malignancy 2 cases;Operative condition:subtotal thyriod lobectomy 3 cases,total lobectomy...

Objective:To investigate the proper extent of thyroidectomy for well-differentiated neoplasms.Methods:The excisional extent of thyroid gland was made according to clinical staging and risk factors in 32 cases with well-differentiated thyroid carcinoma.Results:Clinical staging:stageⅠ23 cases,stageⅡ8 cases,stage Ⅲ0 cases,stage Ⅳ1 case;Malignant degree:low malignanacy 17 cases,moderate malignancy 13 cases,advanced malignancy 2 cases;Operative condition:subtotal thyriod lobectomy 3 cases,total lobectomy 23 cases.subtotal thyroidectomy 6 cases,total thyroidectomy 2 cases,cervical lymph node scavenging 2 cases,modified cervical hymph node scavenging 7 cases,reoperation 10 cases based on clinicopathologic diagnosis.After 3 years follow-up;regional recurence 1 case,no one death.Conclusion:The extent of thyroidectomy for well-diferentiated neoplasms should be determined by the individed surgeon according to his experience and the clinical findings including risk factors in the patients undergoing operation.

目的 :探讨分化型甲状腺癌的合理手术切除范围。方法:根据32例分化型甲状腺癌手术病人的临床分期、危险因索制定切除范围。结果:临床分期:Ⅰ期23例,Ⅱ期8例,Ⅲ期0例,Ⅳ期l例;恶性程度:低度17例,中度13例,高度2例;手术情况:甲状腺腺叶次全切除3例次,腺叶全切除23例次,次全切除6例次,全甲状腺切除2例次,颈淋巴结清扫2例次,改良型颈淋巴结清扫7例次、根据病理诊断再次手术扩大切除范围10例。随访3年,局部复发l例,无死亡病例。结论:分化型甲状腺癌的手术切除范围应根据手术医师的经验和临床发现(包括危险因素)来决定。

Objective:To research the value of frozen section examination for intraoperation diagnosis of thyroid nodule and determination of extent of thyroidectomy.Method:A retrospective evaluation of a group of 1057 patients with thyroid nodular disease was analyzed. The group was divided into frozen section examination group (FS group) and non-frozen section examination group (NFS group).Result:There were 750 cases in FS group. The diagnosis made by frozen section examination was carcinoma in 117; benign lesion...

Objective:To research the value of frozen section examination for intraoperation diagnosis of thyroid nodule and determination of extent of thyroidectomy.Method:A retrospective evaluation of a group of 1057 patients with thyroid nodular disease was analyzed. The group was divided into frozen section examination group (FS group) and non-frozen section examination group (NFS group).Result:There were 750 cases in FS group. The diagnosis made by frozen section examination was carcinoma in 117; benign lesion in 626.Diagnosis was deferred in 7 patients. The final pathology diagnosis was carcinoma in 127; benign lesion in 623.The sensitivity, specificity, accuracy and disaccord rate of frozen section examination were 95.9%, 100.0%, and 98.4%, and 1.6%, respectively. There were 307 cases in NFS group, and the final pathology diagnosis was carcinoma in 30; benign lesion in 277. The disaccord rate with clinical diagnosis was 9.77%.The binomial distribution analysis indicate that the difference of disaccord rate between the FS group and the NFS group was remarkable (P<0.01).Conclusion:Frozen section examination has value in diagnosing the thyroid nodular, and is capable of determination of the extent of thyroidectomy.

目的:研究甲状腺手术中冷冻切片检查的准确性及其对决定手术方式的指导意义。方法:对1057例甲状腺结节患者进行回顾性分析。根据是否行冷冻切片检查将患者分为冷冻切片检查组(FS组)和非冷冻切片检查组(NFS组)。结果:FS组共750例,其中冷冻切片检查诊断良性病变626例,恶性117例,冷冻切片检查不能明确者7例;常规病理检查诊断良性病变623例,恶性127例。117例冷冻切片报告为恶性的患者均得到常规病理检查确认。无假阳性,假阴性5例,真阳性117例,真阴性621例。术中冷冻切片检查的敏感性为95.9%,特异性为100.0%,确诊率为98.4%,不符合率为1.6%。NFS组共307例,术前临床诊断均为良性病变,术后常规病理检查良性病变277例,恶性30例,临床诊断和病理诊断不符合率为9.77%。两组不符合率经二项分布检验,差异有统计学意义(P<0.01),即FS组的不符合率明显低于NFS组的不符合率。结论:术中冷冻切片检查可以明确多数甲状腺结节的性质,对决定甲状腺手术中甲状腺的切除范围有一定价值。

 
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