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中文摘要: 目的：通过对甲状腺结节社区随访现状调查和转诊时机的选择研究，提高社区甲状腺结节的监测效率。方法：参照2015年美国甲状腺学会(ATA)《成人甲状腺结节与分化型甲状腺癌诊治指南》及国内甲状腺结节的B超TI-RADS分类诊断标准，对甲状腺结节危险程度进行分层。统计330例甲状腺结节患者不同的危险程度下B超、甲状腺功能和TpoAb、TgAb随访频度及甲状腺结节转诊情况，研究甲状腺结节社区随访现状和转诊时机的选择。结果：不同的危险程度组别下的甲状腺结节患者社区随访存在检查方法的选择和频度不恰当及转诊时机选择不及时的情况。结论：家庭医师应当熟练掌握2015版ATA指南，结合B超TI-RADS分类，对于甲状腺结节危险分层，为患者选择个体化的甲状腺结节随访方法和转诊时机。
中文关键词: 甲状腺结节 随访 转诊
Abstract:OBJECTIVE to improve the monitoring efficiency of thyroid nodules in community by investigating the status quo of thyroid nodules in community and selecting the time of referral.METHODS According to the American Thyroid Association (ATA) guidelines for the diagnosis and treatment of adult thyroid nodules and differentiated thyroid cancer (2015) and the TI-RADS classification and diagnostic criteria of thyroid nodules by B-ultrasound in China, The risk of thyroid nodules was stratified. B-ultrasound, thyroid function, follow-up frequency of TPOAb and TGAb, and referral of thyroid nodules in 330 patients with thyroid nodules were analyzed, Objective to study the community follow-up status of thyroid nodules and the choice of referral time.RESULTS Community follow-up of patients with thyroid nodules in different risk groups had inappropriate selection and frequency of examination and untimely selection of referral time.CONCLUSION Family physicians should be familiar with the 2015 ATA guidelines, combined with B-ultrasound TI-RADS classification, for thyroid nodule risk stratification, select individual follow-up method and referral time for patients.
keywords: Thyroid nodules, Follow-up, Referral
文章编号：3202008092 中图分类号：R653 文献标志码：
基金项目:
| 作者 | 单位 |
| 熊元七① 贾瑱熙① 梁 磊② |
| Author Name | Affiliation |
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