{"id":120056,"date":"2019-08-01T11:50:50","date_gmt":"2020-04-20T10:14:03","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/120056\/"},"modified":"2020-04-20T18:14:04","modified_gmt":"2020-04-20T10:14:04","slug":"6413f518ea","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/120056\/","title":{"rendered":"\u8fd9\u79cd\u6076\u6027\u80bf\u7624\u4e0d\u624b\u672f\u751f\u5b58\u8d28\u91cf\u66f4\u597d"},"content":{"rendered":"
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\u672c\u6587\u4f5c\u8005\uff1a\u67ef\u7acb\u6c60<\/span><\/span>
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\u6076\u6027\u80bf\u7624\u5411\u6765\u88ab\u5927\u4f17\u89c6\u4e3a\u6d2a\u6c34\u731b\u517d\u4e00\u822c\u7684\u5b58\u5728\uff0c\u8bb8\u591a\u4eba\u5728\u5f97\u77e5\u81ea\u5df1\u7f79\u60a3\u764c\u75c7\u540e\u5931\u53bb\u751f\u6d3b\u7684\u5e0c\u671b\u3002<\/span><\/p>\n


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\u4f46\u6709\u8fd9\u6837\u4e00\u79cd\u764c\uff0c\u5176\u60a3\u8005\u9884\u540e\u826f\u597d\uff0c\u751a\u81f3\u6709\u6700\u65b0\u7814\u7a76\u53d1\u73b0\u8fd9\u79cd\u764c\u53ef\u4ee5\u4e0d\u8fdb\u884c\u5916\u79d1\u624b\u672f\uff0c\u4ec5\u4ee5\u89c2\u5bdf\u968f\u8bbf\u4f5c\u4e3a\u8bca\u7597\u624b\u6bb5\uff0c\u800c\u4e14\u60a3\u8005\u751f\u5b58\u8d28\u91cf\u66f4\u597d\u3002<\/span><\/p>\n


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\u7814\u7a76\u80cc\u666f<\/span><\/strong><\/p>\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n

\u8fd1\u5e74\u6765\u5168\u7403\u7532\u72b6\u817a\u764c\u7684\u53d1\u75c5\u7387\u4e0d\u65ad\u4e0a\u5347\uff0c\u4e3b\u8981\u5f52\u56e0\u4e8e\u7532\u72b6\u817a\u5fae\u5c0f\u4e73\u5934\u72b6\u764c\uff08PTMC\uff09\u7684\u68c0\u6d4b\u7387\u8d8a\u6765\u8d8a\u9ad8\u3002<\/span>
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PTMC \u662f\u6307\u6700\u5927\u76f4\u5f84 \u2264 1 cm \u7684\u7532\u72b6\u817a\u4e73\u5934\u72b6\u764c\u3002\u7531\u4e8e\u4e0e\u5176\u76f8\u5173\u7684\u6b7b\u4ea1\u548c\u590d\u53d1\u98ce\u9669\u8f83\u4f4e\uff0c\u8bb8\u591a\u7814\u7a76\u8ba4\u4e3a\u79ef\u6781\u76d1\u6d4b (AS) \u53ef\u4f5c\u4e3a\u4f4e\u98ce\u9669 PTMC \u60a3\u8005\u7684\u4e00\u79cd\u8bca\u6cbb\u624b\u6bb5\u3002<\/span><\/p>\n


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\u7f8e\u56fd\u7532\u72b6\u817a\u534f\u4f1a\uff08ATA\uff09\u6307\u5357\u5c06 AS \u4f5c\u4e3a\u8bca\u6cbb\u4f4e\u98ce\u9669 PTMC \u60a3\u8005\u7684\u624b\u6bb5\u4e4b\u4e00\u3002<\/span><\/p>\n

\u4f46\u5728\u76d1\u6d4b\u968f\u8bbf\u4e2d\uff0c\u7814\u7a76\u8005\u5f80\u5f80\u66f4\u5728\u610f\u75be\u75c5\u7684\u8fdb\u5c55\u53ca\u9884\u540e\uff0c\u5ffd\u7565\u4e86\u5bf9\u60a3\u8005\u751f\u6d3b\u8d28\u91cf (QoL) \u7684\u8bc4\u4f30\u3002\u76ee\u524d\u4ecd\u7f3a\u5c11\u5173\u4e8e\u60a3\u8005\u751f\u6d3b\u8d28\u91cf\u7684\u7814\u7a76\u3002<\/span><\/p>\n


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\u57fa\u4e8e\u8fd9\u79cd\u80cc\u666f\u4e0b\uff0c\u97e9\u56fd\u851a\u5c71\u5927\u5b66\u533b\u5b66\u9662 Min Ji Jeon \u6559\u6388\u56e2\u961f\u8fdb\u884c\u4e86\u5173\u4e8e\u60a3\u8005\u751f\u6d3b\u8d28\u91cf\u7684\u76f8\u5173\u7814\u7a76\uff0c\u7814\u7a76\u7ed3\u679c\u8fd1\u671f\u53d1\u8868\u4e8e THYROID \u4e0a\u3002<\/span><\/p>\n


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\u7814\u7a76\u65b9\u6cd5<\/span><\/strong><\/p>\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n

\u8be5\u7814\u7a76\u9009\u62e9 2016 \u5e74 6 \u6708\u81f3 2017 \u5e74 10 \u6708\uff0c\u75c5\u7406\u8bca\u65ad\u4e3a PTMC \u7684\u6210\u5e74\u60a3\u8005\uff0c\u968f\u673a\u5206\u4e3a AS \u548c\u817a\u53f6\u5207\u9664\u672f (LB)\u4e24\u7ec4\u3002<\/span><\/p>\n


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AS \u7ec4\u6392\u9664\u7532\u72b6\u817a\u4fa7\u9888\u533a\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u6216\u8fdc\u5904\u8f6c\u79fb\u3001\u80bf\u7624\u8089\u773c\u53ef\u89c1\u4fb5\u72af\u5468\u56f4\u7ec4\u7ec7\u3001\u4fb5\u72af\u6c14\u7ba1\u6216\u5589\u8fd4\u795e\u7ecf\u7684\u60a3\u8005\u3002<\/span><\/p>\n


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LB \u7ec4\u6392\u9664\u968f\u8bbf\u671f\u95f4\u75be\u75c5\u8fdb\u5c55\u6216\u590d\u53d1\uff0c\u65e0\u6cd5\u63a7\u5236\u7684\u6162\u6027\u75be\u75c5\u6216\u5176\u4ed6\u6076\u6027\u80bf\u7624\uff0c\u6216\u6709\u5176\u4ed6\u6076\u6027\u80bf\u7624\u75c5\u53f2\u7684\u60a3\u8005\u3002<\/span><\/p>\n


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\u8be5\u7814\u7a76\u901a\u8fc7\u4e09\u4efd\u95ee\u5377\u91cf\u8868\u6765\u6bd4\u8f83 AS \u7ec4\u4e0e LB \u7ec4\u7684 PTMC \u60a3\u8005\u7684\u751f\u6d3b\u8d28\u91cf\u6709\u65e0\u5dee\u5f02\u6027\uff0c\u95ee\u5377\u5185\u5bb9\u5982\u4e0b<\/span><\/p>\n


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\u95ee\u5377\u4e00\uff1a12 \u9879\u7b80\u5f0f\u5065\u5eb7\u95ee\u5377 (SF-12)\u3002<\/span><\/strong><\/span><\/p>\n


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\u6db5\u76d6\u516b\u4e2a\u9886\u57df: <\/span><\/p>\n


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\u8eab\u4f53\u673a\u80fd (PF)\u3001\u673a\u4f53\u6240\u81f4\u7684\u884c\u4e3a\u9650\u5236 (RP)\u3001\u8eab\u4f53\u75bc\u75db (BP)\u3001\u57fa\u672c\u5065\u5eb7\u72b6\u6001 (GH)\u3001\u4e2a\u4eba\u7cbe\u529b (VT)\u3001\u9002\u5e94\u793e\u4f1a\u80fd\u529b (SF)\u3001\u60c5\u7eea\u6240\u81f4\u7684\u884c\u4e3a\u9650\u5236 (RE) \u548c\u5fc3\u7406\u5065\u5eb7 (MH)\u3002<\/span><\/p>\n

\u5f97\u5206\u8d8a\u9ad8\u8868\u660e\u5065\u5eb7\u72b6\u51b5\u8d8a\u597d\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


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\n
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\u95ee\u5377\u4e8c\uff1a\u7532\u72b6\u817a\u764c\u7279\u5f02\u6027\u751f\u6d3b\u8d28\u91cf\u95ee\u5377 (THYCA-QOL)\u3002<\/span><\/strong><\/span>
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\u8fd9\u662f\u4e00\u4efd 24 \u9879\u5185\u5bb9\u7684\u8c03\u67e5\u95ee\u5377\uff0c\u8bc4\u4f30\u75be\u75c5\u672c\u8eab\u6216\u5176\u6cbb\u7597\u4e2d\u5f15\u8d77\u7684\u7532\u72b6\u817a\u764c\u7279\u5f02\u6027\u75c7\u72b6\u3002\u8be5\u95ee\u5377\u5305\u62ec 7 \u4e2a\u591a\u9879\u76ee\u91cf\u8868\u548c 6 \u4e2a\u5355\u56e0\u7d20\u91cf\u8868<\/span><\/p>\n


<\/p>\n

\uff11\uff0e\u591a\u56e0\u7d20\u91cf\u8868<\/span><\/p>\n

\u795e\u7ecf\u3001\u5173\u8282\u6216\u808c\u8089\uff08\u62bd\u7b4b\u548c\u75bc\u75db\u7b49\u95ee\u9898)<\/span><\/p>\n

\u58f0\u97f3 (\u58f0\u97f3\u5636\u54d1\u6216\u97f3\u8c03\u53d8\u4f4e)<\/span><\/p>\n

\u96c6\u4e2d (\u6ce8\u610f\u529b\u95ee\u9898\u6216\u80fd\u5426\u8fdb\u884c\u56f0\u96be\u95ee\u9898\u7684\u601d\u8003)<\/span><\/p>\n

\u4ea4\u611f\u795e\u7ecf (\u6f6e\u70ed\u6216\u6015\u70ed)<\/span><\/p>\n

\u54bd\u5589 (\u541e\u54bd\u95ee\u9898, \u5589\u54bd\u5589\u80bf\u80c0\u6216\u53e3\u5e72)<\/span><\/p>\n

\u5fc3\u7406 (\u7126\u8651\u3001\u5fc3\u60b8\u6216\u7a81\u7136\u52b3\u7d2f)<\/span><\/p>\n

\u611f\u89c9\u75c7\u72b6 (\u773c\u775b\u53ca\u76ae\u80a4\u51fa\u73b0\u5e72\u71e5\u548c\u7619\u75d2\u7b49)<\/span>
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2\uff0e\u5355\u56e0\u7d20\u91cf\u8868\uff1a<\/span><\/p>\n

\u7622\u75d5, \u6015\u51b7, \u523a\u75db\u611f\u3001\u4f53\u91cd\u589e\u52a0\u3001\u5934\u75db\u548c\u6027\u5174\u8da3\u964d\u4f4e\u3002<\/span><\/p>\n

\u6240\u6709\u7684\u9879\u76ee\u5f97\u5206\u4ece 1 \u5230 4 \u5982\u4e0b\uff1a1 =\u300c\u4e00\u70b9\u4e5f\u4e0d\u300d\uff0c2 =\u300c\u4e00\u70b9\u300d\uff0c3 =\u300c\u76f8\u5f53\u591a\u300d\uff0c4 =\u300c\u975e\u5e38\u591a\u300d\u3002\u5f97\u5206\u8d8a\u9ad8\uff0c\u8bf4\u660e\u75c7\u72b6\u8d8a\u591a\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


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\n
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\u95ee\u5377\u4e09\uff1a\u56e0\u75be\u75c5\u8fdb\u5c55\u4ea7\u751f\u6050\u60e7\u5fc3\u7406\u95ee\u5377\uff08FoP\uff09\u3002<\/span><\/strong><\/span><\/p>\n


<\/span><\/p>\n

\u8be5\u95ee\u5377\u5171\u6709 43 \u9879\u7528\u4e8e\u8bc4\u4f30\u4e0e\u75be\u75c5\u8fdb\u5c55\u76f8\u5173\u7684\u7126\u8651\u548c\u6050\u60e7\u3002\u5171\u5206\u4e3a\u4e94\u5927\u7c7b\u522b: \u60c5\u611f\u53cd\u5e94 (13 \u9879)\u3001\u4f34\u4fa3\/\u5bb6\u5ead (7 \u9879)\u3001\u5de5\u4f5c (7 \u9879)\u3001\u4e27\u5931\u81ea\u4e3b\u6027 (7 \u9879) \u548c\u5e94\u5bf9\u7126\u8651 (9 \u9879)\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u6bcf\u9879\u5f97\u5206\u90fd\u5728 0 \u5230 4 \u4e4b\u95f4\uff0c\u9664\u53bb\u5e94\u5bf9\u7126\u8651\u5916\uff0c\u5f97\u5206\u8d8a\u9ad8\u8868\u793a\u5bf9\u75be\u75c5\u8fdb\u5c55\u4ea7\u751f\u6050\u60e7\u7126\u8651\u5fc3\u7406\u7a0b\u5ea6\u8d8a\u9ad8\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


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\u60a3\u8005\u60c5\u51b5<\/span><\/strong>
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<\/p>\n<\/section>\n<\/section>\n<\/section>\n

AS \u7ec4\u5171\u6709 43 \u540d PTMC \u60a3\u8005\uff0c\u540c\u65f6 LB \u7ec4\u6709 148 \u540d\uff0c\u5176\u4e2d 10 \u4f8b (7%) \u4e3a\u673a\u5668\u4eba\u64cd\u4f5c\u624b\u672f\u3002\u4e0e AS \u7ec4\u76f8\u6bd4\uff0cLB \u7ec4\u60a3\u8005\u591a\u4e3a\u5973\u6027\uff0c\u672f\u540e\u670d\u7528\u5de6\u7532\u72b6\u817a\u7d20\u7247\uff0c\u8840\u6e05 TSH \u6c34\u5e73\u8f83\u4f4e\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u5728 148 \u540d\u624b\u672f\u60a3\u8005\u4e2d\uff0c2 \u540d\u5728\u672f\u540e\u51fa\u73b0\u77ed\u6682\u7684\u7532\u72b6\u65c1\u817a\u529f\u80fd\u51cf\u9000\uff0c\u5176\u4e2d 1 \u4eba\u5728\u53c2\u4e0e\u7814\u7a76\u65f6\u4ecd\u9700\u8981\u836f\u7269\u6cbb\u7597\u3002<\/span><\/p>\n


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\u5728\u8fdb\u4e00\u6b65\u5206\u6790\u4e0e PTMC \u60a3\u8005\u751f\u6d3b\u8d28\u91cf\u76f8\u5173\u7684\u56e0\u7d20\u4e2d\u53d1\u73b0\uff0c\u5e74\u9f84\u3001\u6027\u522b\u548c\u8840\u6e05 TSH \u503c\u4e0e\u4e4b\u663e\u8457\u76f8\u5173\uff08\u89c1\u4e0b\u8868\uff09\u3002<\/span><\/p>\n


<\/span><\/p>\n

\"\u8fd9\u79cd\u6076\u6027\u80bf\u7624\u4e0d\u624b\u672f\u751f\u5b58\u8d28\u91cf\u66f4\u597d\"<\/p>\n

\uff08\u56fe\u8868\u6765\u81ea\u539f\u6587\uff09<\/span><\/span>
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\n
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\u7814\u7a76\u7ed3\u679c<\/span><\/strong><\/p>\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n

\u5728 SF-12 \u95ee\u5377\u4e2d\uff0cLB \u7ec4\u7684 RP\u3001SF\u3001RE \u8bc4\u5206\u660e\u663e\u4f4e\u4e8e AS \u7ec4\u3002\u5728\u5355\u53d8\u91cf\u548c\u591a\u53d8\u91cf\u5206\u6790\u4e2d\uff0cRE \u8bc4\u5206\u5747\u663e\u793a\u7ec4\u95f4\u5b58\u5728\u663e\u8457\u7684\u8d1f\u7ebf\u6027\u76f8\u5173\u3002\u8fd9\u8868\u660e LB \u7ec4\u60a3\u8005\u5065\u5eb7\u72b6\u51b5\u4e0d\u5982 AS \u7ec4\u3002<\/span><\/p>\n


<\/span><\/p>\n

THYCA-QOL \u95ee\u5377\u5f97\u5206\u4e2d\uff0c\u4e0e AS \u7ec4\u76f8\u6bd4\uff0cLB \u7ec4\u5728\u300c\u795e\u7ecf\u808c\u8089\u300d\u3001\u300c\u6ce8\u610f\u529b\u300d\u3001\u300c\u54bd\u5589\/\u53e3\u8154\u300d\u3001\u300c\u75a4\u75d5\u95ee\u9898\u300d\u548c\u300c\u611f\u89c9\u5bd2\u51b7\u300d\u7b49\u65b9\u9762\u7684\u5f97\u5206\u660e\u663e\u66f4\u9ad8\uff0c\u8868\u660e LB \u7ec4\u7532\u72b6\u817a\u7279\u5f02\u6027\u4e0d\u9002\u75c7\u72b6\u66f4\u663e\u8457\u3002\u4f46\u5728\u300c\u6027\u5174\u8da3\u964d\u4f4e\u300d\u91cf\u8868\u4e2d\uff0cAS \u7ec4\u5f97\u5206\u660e\u663e\u9ad8\u4e8e LB \u7ec4\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u5728\u754f\u60e7\u75be\u75c5\u8fdb\u5c55\u7684\u95ee\u5377\u8c03\u67e5\uff08FoP\uff09\u4e2d\u4e24\u7ec4\u60a3\u8005\u5728 FoP \u8bc4\u5206\u65e0\u663e\u8457\u5dee\u5f02<\/span><\/p>\n


<\/span><\/p>\n

\u56e0\u6b64\uff0c\u4e24\u7ec4\u5728 SF-12 \u53ca THYCA-QOL \u95ee\u5377\u7684\u6570\u636e\u4e2d\u5b58\u5728\u663e\u8457\u6027\u5dee\u5f02\u3002LB \u7ec4\u4e2d\u7684\u60c5\u7eea\u6240\u81f4\u7684\u884c\u4e3a\u9650\u5236\u95ee\u9898\u591a\u4e8e AS \u7ec4\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u6b64\u5916\uff0c\u4e0e AS \u7ec4\u76f8\u6bd4\uff0cLB \u7ec4\u7684\u795e\u7ecf\u808c\u8089\u3001\u54bd\u5589\u548c\u7622\u75d5\u76f8\u5173\u95ee\u9898\u66f4\u4e3a\u666e\u904d\uff0c\u8003\u8651\u4e0e\u624b\u672f\u6709\u5173\u3002\u7814\u7a76\u4eba\u5458\u8fd8\u5206\u6790\u4e86\u5f00\u653e\u5f0f\u624b\u672f\u548c\u673a\u5668\u4eba\u624b\u672f\u53c2\u6570\u7684\u5dee\u5f02\uff0c\u9664\u75a4\u75d5\u95ee\u9898\u5916\uff0c\u63a5\u53d7\u4e0d\u540c\u624b\u672f\u65b9\u5f0f\u60a3\u8005\u7684\u751f\u6d3b\u8d28\u91cf\u65e0\u663e\u8457\u5dee\u5f02\u3002<\/span><\/p>\n


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\"\u8fd9\u79cd\u6076\u6027\u80bf\u7624\u4e0d\u624b\u672f\u751f\u5b58\u8d28\u91cf\u66f4\u597d\"
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