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目的:探讨甲状腺结节的社区筛选干预和临床规范治疗的效果。方法:2011年2月至2012年2月随机选取某社区内2500人进行社区筛检干预,选择检出的350例患者作为观察组,予以规范治疗,选取同期在当地某医院行甲状腺瘤切除术的350例患者作为对照组,以两组患者的良性率和复发、转移等为观察指标,探讨甲状腺结节的社区筛选干预和临床规范治疗的效果。结果 :观察组患者肿瘤的良性率为90.86%,对照组患者肿瘤良性率为81.71%,观察组患者的良性率显著高于对照组,观察组甲状腺患者的分化程度低于对照组患者,观察组患者的复发和转移明显低于对照组患者,差异有统计学意义,P<0.05。结论:甲状腺结节的社区筛选干预有利于早期发现甲状腺肿瘤并及时得到治疗,规范治疗能降低患者的复发率和转移率,提高患者的生活质量。
Objective: To investigate the effect of community screening intervention and clinical normative treatment of thyroid nodules. Methods: From February 2011 to February 2012, 2,500 people in a certain community were randomly selected for community screening intervention. 350 patients were selected as the observation group for standard treatment. During the same period, a local thyroidectomy Of 350 patients as control group, the two groups of patients with benign rate and recurrence and metastasis as indicators to explore the thyroid nodules community screening intervention and clinical normative treatment. Results: The benign rate of the tumor in the observation group was 90.86%. The benign rate of the tumor in the control group was 81.71%. The benign rate in the observation group was significantly higher than that in the control group. The differentiation degree in the observation group was lower than that in the control group and the observation group The recurrence and metastasis of patients was significantly lower than that of the control group, the difference was statistically significant, P <0.05. Conclusion: The community screening of thyroid nodules is conducive to the early detection of thyroid tumors and timely treatment, standardized treatment can reduce the recurrence rate and metastasis rate of patients and improve the quality of life of patients.