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因良性或恶性疾病接受甲状腺切除术患者的短期和长期生活质量评估

THE EVALUATION OF SHORT AND LONG-TERM QUALITY OF LIFE IN PATIENTS UNDERGOING THYROIDECTOMY DUE TO BENIGN OR MALIGNANT DISEASES.

作者信息

Erkan S, Avci T, Gündoğdu R, Özarslan F, Yabanoglu H, Yavuz Çolak M, Albuz Ö

机构信息

Baskent University School of Medicine, Adana Teaching and Research Center, Department of General Surgery, Adana.

Baskent University School Of Medicine, Department of Biostatistics, Ankara.

出版信息

Acta Endocrinol (Buchar). 2024 Apr-Jun;20(2):170-178. doi: 10.4183/aeb.2024.170. Epub 2025 Jan 18.

Abstract

CONTEXT

In patients undergoing thyroidectomy for malignant disease, lower quality of life scores were observed in the early postoperative period compared to those undergoing thyroidectomy for benign causes.

OBJECTIVE

Thyroid gland diseases are commonly encountered in society. This study presents health-related quality of life differences in thyroidectomies performed for benign and malignant diseases and the factors affecting this.

DESIGN

Patients who underwent thyroidectomy for thyroid disease between January 2021 and January 2022 were evaluated prospectively.

SUBJECTS AND METHODS

The SF 36 questionnaire was applied and interpreted at the 1 and 6 months after thyroidectomy in patients over the age of 18 who did not have a history of previous thyroid surgery.

RESULTS

The study included a total of 228 patients. Among them, 171 (75%) were female (male/female: 57/171). Multinodular goiter in benign cases and papillary carcinoma in malignant cases were predominant (68.3% and 90.6%, respectively). SF-36 scores were found to be worse in the malignant group.

CONCLUSION

In patients undergoing thyroidectomy for malignant disease, lower quality of life scores were observed in the early postoperative period compared to those undergoing thyroidectomy for benign causes.

摘要

背景

在因恶性疾病接受甲状腺切除术的患者中,与因良性原因接受甲状腺切除术的患者相比,术后早期生活质量得分较低。

目的

甲状腺疾病在社会中普遍存在。本研究呈现了因良性和恶性疾病进行甲状腺切除术后与健康相关的生活质量差异以及影响这一差异的因素。

设计

对2021年1月至2022年1月期间因甲状腺疾病接受甲状腺切除术的患者进行前瞻性评估。

对象与方法

对18岁以上且无既往甲状腺手术史的患者,在甲状腺切除术后1个月和6个月应用并解读SF 36问卷。

结果

该研究共纳入228例患者。其中,171例(75%)为女性(男/女:57/171)。良性病例中以多结节性甲状腺肿为主,恶性病例中以乳头状癌为主(分别为68.3%和90.6%)。发现恶性组的SF-36评分更差。

结论

在因恶性疾病接受甲状腺切除术的患者中,与因良性原因接受甲状腺切除术的患者相比,术后早期生活质量得分较低。

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Total thyroidectomy for benign thyroid disease.因良性甲状腺疾病行全甲状腺切除术。
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Global thyroid estimates in 2020.2020年全球甲状腺疾病评估数据。
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