{"nowTime30":1777525015917,"lyBarModerator":null,"metaSearch":{"description":"甲状腺癌在目前处于频频高发的状态，对于人们的伤害是非常的严重，人们对甲状腺癌也非常的重视，那么到底甲状腺癌发病率较高的原因是什么呢？1、放射性损伤用X线照射实验鼠的甲状腺，能够促使动物发生甲状腺癌。实验证明131Ⅰ能够使甲状腺细胞的代谢发生变化，细胞核变形，甲状腺素的合成大为减少。可见放射线一方面引","keywords":"甲状腺癌发病率较高的原因_洞医","title":"甲状腺癌发病率较高的原因_洞医","channels":null},"identificate":{"id":"694a92a2e9ed11e7a3d800163e04584d","isDel":0,"createAt":1514259154100,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":0,"updateBy":null,"updateName":null,"userId":"e8f7486fbba411e7a3d800163e04584d","realName":"王瑞","certifiedStatus":2,"phone":"18201617331","email":"1516932689@qq.com","hospitalId":"14654","departmentId":"2032","illName":"冠心病","illId":"14fcc36fbadb11e6a61c00163e04584d","cardType":2,"cardImg":"http://01luntan.com/ly_img/1533708809392.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"心血管内科","hospitalName":null},"fj":[],"canEdit":null,"adList":[],"lyBar":{"id":"1591","isDel":0,"createAt":1483430733949,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"甲状腺癌","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"63ca7684bb5f11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:甲状腺癌论坛_甲状腺癌患者论坛_病友交流平台_病友论坛，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"甲状腺癌论坛_甲状腺癌患者论坛_病友交流平台_病友论坛\",\"title\":\"甲状腺癌论坛_甲状腺癌患者论坛_病友交流平台_病友论坛\"},\"治疗\":{\"description\":\"为您提供:甲状腺癌怎么治疗_甲状腺癌治疗方法_甲状腺癌早期治疗方法等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"甲状腺癌怎么治疗_甲状腺癌治疗方法_甲状腺癌早期治疗方法\",\"title\":\"甲状腺癌怎么治疗_甲状腺癌治疗方法_甲状腺癌早期治疗方法\"},\"症状\":{\"description\":\"为您提供:甲状腺癌的早期症状_甲状腺癌的症状和体征_甲状腺癌有什么症状等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"甲状腺癌的早期症状_甲状腺癌的症状和体征_甲状腺癌有什么症状\",\"title\":\"甲状腺癌的早期症状_甲状腺癌的症状和体征_甲状腺癌有什么症状\"},\"并发症\":{\"description\":\"为您提供:甲状腺癌的症状和危害_甲状腺癌术后并发症_甲状腺癌术后后遗症等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"甲状腺癌的症状和危害_甲状腺癌术后并发症_甲状腺癌术后后遗症\",\"title\":\"甲状腺癌的症状和危害_甲状腺癌术后并发症_甲状腺癌术后后遗症\"},\"饮食\":{\"description\":\"为您提供:甲状腺癌饮食注意什么_甲状腺癌的饮食禁忌_甲状腺癌不能吃什么等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"甲状腺癌饮食注意什么_甲状腺癌的饮食禁忌_甲状腺癌不能吃什么\",\"title\":\"甲状腺癌饮食注意什么_甲状腺癌的饮食禁忌_甲状腺癌不能吃什么\"},\"病因\":{\"description\":\"为您提供:甲状腺癌怎么引起的_甲状腺癌的病因_甲状腺癌最常见病因等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"甲状腺癌怎么引起的_甲状腺癌的病因_甲状腺癌最常见病因\",\"title\":\"甲状腺癌怎么引起的_甲状腺癌的病因_甲状腺癌最常见病因\"},\"病友求助\":{\"description\":\"为您提供:甲状腺癌术后能活多久_甲状腺癌不手术可以吗_甲状腺癌需要手术吗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"甲状腺癌术后能活多久_甲状腺癌不手术可以吗_甲状腺癌需要手术吗\",\"title\":\"甲状腺癌术后能活多久_甲状腺癌不手术可以吗_甲状腺癌需要手术吗\"},\"预防\":{\"description\":\"为您提供:如何预防甲状腺癌_甲状腺癌预防_吃什么能预防甲状腺癌等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"如何预防甲状腺癌_甲状腺癌预防_吃什么能预防甲状腺癌\",\"title\":\"如何预防甲状腺癌_甲状腺癌预防_吃什么能预防甲状腺癌\"}},\"description\":\"为您提供:甲状腺癌治疗费用、甲状腺癌能治愈吗、恶性甲状腺癌术后寿命、甲状腺癌病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"甲状腺癌治疗费用_甲状腺癌能治愈吗_恶性甲状腺癌术后寿命\",\"title\":\"甲状腺癌治疗费用_甲状腺癌能治愈吗_恶性甲状腺癌术后寿命\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"7981","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"如何预防甲状腺癌的侵袭","content":"<p style=\"text-indent: 28px; padding: 0px; line-height: 200%; text-align: left;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\"></span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">大家</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">应该</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">都听说过甲状腺癌这个病，生活中大家在面对甲状腺癌的时候都感觉到束手无策。为了避免这种疾病会侵扰到我们的生活，大家应该</span></span><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">如何预防甲状腺癌</span></span></strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">的侵袭</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">呢</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">？</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">下面我们一起来了解一下吧。</span></span></p><p style=\"text-indent: 28px; padding: 0px; line-height: 200%; text-align: left;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\"></span></span><br/></p><p style=\"text-indent: 28px; padding: 0px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1511235981282.png\" title=\"如何预防甲状腺癌的侵袭\" alt=\"如何预防甲状腺癌的侵袭\" width=\"600\" height=\"372\"/></span></span></p><p style=\";text-indent: 28px;padding: 0;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\"><br/></span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">1、要注意内分泌的调理，平时不要有大压力，而且在面对事情的时候，不要过于着急，不要以为遇到事情就着急上火发脾气，这样会导致内分泌素的影响，因此，在看到问题的时候，应该要变得豁达一些，保持愉快的心情。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:28px;text-indent:0;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">2、合理的饮食，平时一定多吃一些海产品。比如是海带，海菜，紫菜，虾米，虾皮。这样对身体只有好处的，而且要注意碘元素，摄入。不要吃油炸，或者是烧烤食物，要不要吃油腻的东西。少吃香肠火腿，或者是一些腌制的食品，在加工和烹饪食物的时候要注意方法，不要吃烂叶子。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">3、平时也不要喝酒，酒虽然没有致癌物质，但是，是病毒的良好溶剂，会影响到肝脏，不能够及时的排毒。所以甲状腺也会受到影响，因此平时要戒酒戒烟。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">4、注意生活调理，平时要注意锻炼身体，增强体质，而且要注意多休息，不要给自己太大的压力，尤其是女性，在服用一些产品的时候，要注意其成分，避免含有雌性激素太多，这样对身体反而不利，促进疾病的发生，希望大家可以警惕起来。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:28px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">找良医网温馨提示：以上就是关于如何预防甲状腺癌的侵袭</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">的</span></span><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">介绍，相信大家也应该有一定的了解了，希望各位定期做身体检查，养成良好的生活饮食习惯，形成健康的作息规律，千万不可忽视生活中的小细节。如有身体不适请及时到医院就诊，早日查清病况及早治疗，以免延误治疗。最后，祝愿大家身体健康！</span></span></p><p style=\";text-indent: 28px;padding: 0;line-height: 200%\"><br/></p>","barId":"1591","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"6425","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"甲状腺癌饮食要注意什么","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">甲状腺癌饮食要注意什么</span></strong><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">？</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">患上了甲状腺癌在饮食上也是需要多注意的，一方面是为了保证患者更好的恢复，更是为了让治疗的效果更好的发挥，所以不管是为了那一点都是需要注意饮食的，那么甲状腺癌饮食要注意什么呢</span>?</span></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1509085013863.jpg\" title=\"甲状腺癌饮食要注意什么\" alt=\"甲状腺癌饮食要注意什么\" width=\"600\" height=\"372\"/></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">甲状腺癌患者宜多吃具有抗甲状腺癌作用的食物：茯苓、山药、香菇与猴头菇、无花果、慈姑、萝卜、菱、杏、魔芋、海参、海带及牛、羊和鹿等动物的靥肉。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">宜多吃具有加强免疫力作用的食物：甜杏仁、柿饼和芦笋、薏米、甲鱼、乌龟、核桃、香菇、蘑菇是甲状腺癌患者的饮食禁忌之一。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">宜吃具有健脾利水作用的食物，如核桃、黑大豆、山药、韭菜、荔枝、桑椹、青鱼、虾、淡菜、猪羊肾、雀肉、鹌鹑蛋与石榴、梅子、薏米、扁豆和山药、魔芋</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">甲状腺癌患者的饮食禁忌：忌烟、酒及辛辣刺激性食物。甲状腺癌的饮食禁忌：忌肥腻、粘滞食物。忌坚硬不易消化食物。忌油炸、烧烤等热性食物。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p><br/></p>","barId":"1591","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"10525","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"甲状腺手术常见并发症什么","content":"<p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1515218659625.jpg\" title=\"甲状腺手术常见并发症什么  1.术后出血   甲状腺术后出血有两种情况。其一为甲状腺切面及切口出血。此种出血进行缓慢，颈部逐渐肿胀，有时皮肤青紫，可能出现轻度的呼吸困难。应拆除缝线，进行减压、引流。其二，为动脉出血。多由于甲状腺上动脉的结扎线脱落引起。常在术后1-2天内因咳嗽及用力时发生。此种出血急剧，颈部迅速肿胀，很快引起呼吸困难甚至窒息。应立即开放切口，找到出血点，予以止血。  2.呼吸困难及窒息   除上述的出血压迫引起呼吸困难外，因喉头水肿、气管软化塌陷或双侧喉返神经损伤麻痹等，也可以引起呼吸困难或窒息。  3.喉返神经损伤    一侧喉返神经损伤可引起声音嘶哑及发音困难，是因为该侧声带麻痹所致。如为挫伤，麻痹的声带能在数月后自然恢复；如为结扎或切断伤，则声带呈永久性麻痹。但麻痹的声带逐渐强直在中间位置，其功能可由健侧声带代偿，声音嘶哑逐渐恢复。如双侧喉返神经均受损伤，则由于两侧声带皆强直在中间位置，不能开放，引起窒息，需做气管切开并长期使用气管套管。  4.喉上神经损伤  喉上神经外支损伤，由于影响了声带的张力，可出现音调降低及发音粗糙。如内支损伤，可使会厌黏膜失去感觉，出现误咽，引起喝水呛咳。上述症状可由于健侧的代偿作用而逐渐减轻。  5.甲状旁腺损伤  甲状旁腺损伤可引起手指抽搐，多在术后2-3天出现，系因甲状旁腺被切除或供血不足所致。其症状在开始时为四肢和口唇发紧麻木、手足刺痛，严重者出现四肢及躯干抽搐，每日数次，每次数分钟。因供血不足引起者，可逐渐恢复；全部切掉的则终生应用钙剂。  6.甲状腺危象   是甲状腺机能亢进术后的一个严重并发症。一般多在术后24-48小时发生。其临床表现为持续高热、脉搏增快、血压升高，同时可能伴有恶心、呕吐、腹泻、情绪激动、烦躁不安等症状，甚至呈昏睡状态。术前准备不充分，手术适应症选择不当；术中操作粗暴，出血过多；术后出血、感染及缺氧是其诱因。  7.创腔内血肿形成及感染  如术后3-4天仍发热不退，自觉颈部肿胀、疼痛，检查时见切口周围皮肤发红、有压痛，即应想到血肿及感染的可能。早期可采用局部热敷，促进血肿吸收。血肿较大时，可反复穿刺抽吸。如已形成脓肿，需拆除缝线行引流，同时予以抗生素。  8.淋巴漏或乳糜漏。  表现为自引流管内流出乳白色液体，有时量较多。原因是甲状腺癌术中清扫淋巴结时未结扎淋巴管或结扎线脱落；或者损伤左侧胸导管或右侧淋巴导管未发现，或修补不彻底。轻者通过禁食可自愈，重者需行二次手术。  9.甲状腺功能低下  是因为切除过多的腺体所致。表现为乏力、精神淡漠、皮肤干燥、动作迟缓、下肢粘液性水肿等。  以上并发症是完全能够避免的。甲状腺手术是一个非常精细的手术；术中操作需要仔细、轻柔，不能粗暴、粗糙；每一个动作、每一个步骤，都要做到心中有数、胸有成竹；尤其要全程解剖、显露、保护喉返神经，防止误伤；对于甲状旁腺要仔细辨认，做到原位保留；有时误切下来或者无法原位保留时，要及时发现并自体移植。临床上有的医生术后老出并发症，如喉返神经损伤、甲状旁腺功能低下、术中大出血、术后出血重新二次手术，都与个人素质、手术技巧有关！现在甲状腺外科就是向专业化、精细化发展的典范，所以就诊时要慎重选择医院和医生\" alt=\"甲状腺手术常见并发症什么  1.术后出血   甲状腺术后出血有两种情况。其一为甲状腺切面及切口出血。此种出血进行缓慢，颈部逐渐肿胀，有时皮肤青紫，可能出现轻度的呼吸困难。应拆除缝线，进行减压、引流。其二，为动脉出血。多由于甲状腺上动脉的结扎线脱落引起。常在术后1-2天内因咳嗽及用力时发生。此种出血急剧，颈部迅速肿胀，很快引起呼吸困难甚至窒息。应立即开放切口，找到出血点，予以止血。  2.呼吸困难及窒息   除上述的出血压迫引起呼吸困难外，因喉头水肿、气管软化塌陷或双侧喉返神经损伤麻痹等，也可以引起呼吸困难或窒息。  3.喉返神经损伤    一侧喉返神经损伤可引起声音嘶哑及发音困难，是因为该侧声带麻痹所致。如为挫伤，麻痹的声带能在数月后自然恢复；如为结扎或切断伤，则声带呈永久性麻痹。但麻痹的声带逐渐强直在中间位置，其功能可由健侧声带代偿，声音嘶哑逐渐恢复。如双侧喉返神经均受损伤，则由于两侧声带皆强直在中间位置，不能开放，引起窒息，需做气管切开并长期使用气管套管。  4.喉上神经损伤  喉上神经外支损伤，由于影响了声带的张力，可出现音调降低及发音粗糙。如内支损伤，可使会厌黏膜失去感觉，出现误咽，引起喝水呛咳。上述症状可由于健侧的代偿作用而逐渐减轻。  5.甲状旁腺损伤  甲状旁腺损伤可引起手指抽搐，多在术后2-3天出现，系因甲状旁腺被切除或供血不足所致。其症状在开始时为四肢和口唇发紧麻木、手足刺痛，严重者出现四肢及躯干抽搐，每日数次，每次数分钟。因供血不足引起者，可逐渐恢复；全部切掉的则终生应用钙剂。  6.甲状腺危象   是甲状腺机能亢进术后的一个严重并发症。一般多在术后24-48小时发生。其临床表现为持续高热、脉搏增快、血压升高，同时可能伴有恶心、呕吐、腹泻、情绪激动、烦躁不安等症状，甚至呈昏睡状态。术前准备不充分，手术适应症选择不当；术中操作粗暴，出血过多；术后出血、感染及缺氧是其诱因。  7.创腔内血肿形成及感染  如术后3-4天仍发热不退，自觉颈部肿胀、疼痛，检查时见切口周围皮肤发红、有压痛，即应想到血肿及感染的可能。早期可采用局部热敷，促进血肿吸收。血肿较大时，可反复穿刺抽吸。如已形成脓肿，需拆除缝线行引流，同时予以抗生素。  8.淋巴漏或乳糜漏。  表现为自引流管内流出乳白色液体，有时量较多。原因是甲状腺癌术中清扫淋巴结时未结扎淋巴管或结扎线脱落；或者损伤左侧胸导管或右侧淋巴导管未发现，或修补不彻底。轻者通过禁食可自愈，重者需行二次手术。  9.甲状腺功能低下  是因为切除过多的腺体所致。表现为乏力、精神淡漠、皮肤干燥、动作迟缓、下肢粘液性水肿等。  以上并发症是完全能够避免的。甲状腺手术是一个非常精细的手术；术中操作需要仔细、轻柔，不能粗暴、粗糙；每一个动作、每一个步骤，都要做到心中有数、胸有成竹；尤其要全程解剖、显露、保护喉返神经，防止误伤；对于甲状旁腺要仔细辨认，做到原位保留；有时误切下来或者无法原位保留时，要及时发现并自体移植。临床上有的医生术后老出并发症，如喉返神经损伤、甲状旁腺功能低下、术中大出血、术后出血重新二次手术，都与个人素质、手术技巧有关！现在甲状腺外科就是向专业化、精细化发展的典范，所以就诊时要慎重选择医院和医生\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">1.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">术后出血</span> </span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">甲状腺术</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">后出血有两种情况。其一为甲状腺切面及切口出血。此种出血进行缓慢，颈部逐渐肿胀，有时皮肤青紫，可能出现轻度的呼吸困难。应拆除缝线，进行减压、引流。其二，为动脉出血。多由于甲状腺上动脉的结扎线脱落引起。常在术后</span>1-2天内因咳嗽及用力时发生。此种出血急剧，颈部迅速肿胀，很快引起呼吸困难甚至窒息。应立即开放切口，找到出血点，予以止血。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">2.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">呼吸困难及窒息</span> </span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">除上述的出血压迫引起呼吸困难外，因喉头水肿、气管软化塌陷或双侧喉返神经损伤麻痹等，也可以引起呼吸困难或窒息。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">3.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">喉返神经损伤</span> &nbsp;</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一侧喉返神经损伤可引起声音嘶哑及发音困难，是因为该侧声带麻痹所致。如为挫伤，麻痹的声带能在数月后自然恢复；如为结扎或切断伤，则声带呈永久性麻痹。但麻痹的声带逐渐强直在中间位置，其功能可由健侧声带代偿，声音嘶哑逐渐恢复。如双侧喉返神经均受损伤，则由于两侧声带皆强直在中间位置，不能开放，引起窒息，需做气管切开并长期使用气管套管。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">4.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">喉上神经损伤</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">喉上神经外支损伤，由于影响了声带的张力，可出现音调降低及发音粗糙。如内支损伤，可使会厌黏膜失去感觉，出现误咽，引起喝水呛咳。上述症状可由于健侧的代偿作用而逐渐减轻。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">5.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">甲状旁腺损伤</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">甲状旁腺损伤可引起手指抽搐，多在术后</span>2-3天出现，系因甲状旁腺被切除或供血不足所致。其症状在开始时为四肢和口唇发紧麻木、手足刺痛，严重者出现四肢及躯干抽搐，每日数次，每次数分钟。因供血不足引起者，可逐渐恢复；全部切掉的则终生应用钙剂。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">6.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">甲状腺危象</span> </span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">是甲状腺机能亢进术后的一个严重并发症。一般多在术后</span>24-48小时发生。其临床表现为持续高热、脉搏增快、血压升高，同时可能伴有恶心、呕吐、腹泻、情绪激动、烦躁不安等症状，甚至呈昏睡状态。术前准备不充分，手术适应症选择不当；术中操作粗暴，出血过多；术后出血、感染及缺氧是其诱因。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">7.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">创腔内血肿形成及感染</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">如术后</span>3-4天仍发热不退，自觉颈部肿胀、疼痛，检查时见切口周围皮肤发红、有压痛，即应想到血肿及感染的可能。早期可采用局部热敷，促进血肿吸收。血肿较大时，可反复穿刺抽吸。如已形成脓肿，需拆除缝线行引流，同时予以抗生素。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">8.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">淋巴漏或乳糜漏。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">表现为自引流管内流出乳白色液体，有时量较多。原因是甲状腺癌术中清扫淋巴结时未结扎淋巴管或结扎线脱落；或者损伤左侧胸导管或右侧淋巴导管未发现，或修补不彻底。轻者通过禁食可自愈，重者需行二次手术。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">9.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">甲状腺功能低下</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">是因为切除过多的腺体所致。表现为乏力、精神淡漠、皮肤干燥、动作迟缓、下肢粘液性水肿等。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">以上</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">并发症</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">是完全能够避免的。甲状腺手术是一个非常精细的手术；术中操作需要仔细、轻柔，不能粗暴、粗糙；每一个动作、每一个步骤，都要做到心中有数、胸有成竹；尤其要全程解剖、显露、保护喉返神经，防止误伤；对于甲状旁腺要仔细辨认，做到原位保留；有时误切下来或者无法原位保留时，要及时发现并自体移植。临床上有的医生术后老出并发症，如喉返神经损伤、甲状旁腺功能低下、术中大出血、</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">术后出血</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">重新二次手术，都与个人素质、手术技巧有关！现在甲状腺外科就是向专业化、精细化发展的典范，所以就诊时要慎重选择医院和医生！</span></p><p><br/></p>","barId":"1591","topicTypeId":null,"topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"6396","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"女性吃海鲜易患甲状腺癌","content":"<p style=\"text-align: center;\"><img src=\"http://01luntan.com/ly_img/uimgs/1509008206368.jpg\" title=\"1509008206368.jpg\" alt=\"3352761_164431872000_2.jpg\"/></p><p><br/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">甲状腺癌是头颈部常见的恶性肿瘤，近年来发病率明显上升，并以青年女性多见。嗜好吃海鲜的年轻女性，已成为甲状腺癌的高发人群。复旦大学附属肿瘤医院公布的一份最新调查资料显示，甲状腺癌</span>10年间发病率增加了3倍多，其中40岁以下的年轻女性患者是男性的2－5倍，患者中大多有嗜好吃海鲜等含碘量高的食物习惯。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">肿瘤医院专家介绍说，海鲜等含碘量高的食物，本身就容易诱发甲状腺疾病的发生，加之女性特殊的生理条件，像性激素影响、内分泌失调、放射线辐射等，就很容易患上甲状腺癌。据统计，目前肿瘤医院头颈外科的</span>53张病床，80％是沿海地区的患者，而且女性占了绝大多数。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">据了解，甲状腺癌恶性程度非常高，</span>5年生存期仅为50％，如不治疗1年内就有生命危险。但如果早发现、早手术治疗，90％以上可以治愈。专家指出，由于甲状腺癌没有任何前期症状，其高危人群，像有家族史、曾患过癌症、嗜好吃海鲜的年轻女性，应该每年到医院进行专项检查，不能大意。</span></p><p><br/></p>","barId":"1591","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"6408","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"甲状腺癌手术后如何复查和治疗","content":"<p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">　甲状腺癌手术后如何复查和治疗</span>?甲状腺癌患者手术后如何复查呢?甲状腺癌患者手术后还要采取什么治疗方法呢?我们一起来看看</span><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">找良医网</span></span><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">专家的详细介绍</span></span><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">：</span></span></p><p style=\"margin: 0px; text-indent: 32px; padding: 0px; text-align: center; line-height: 200%; background: rgb(255, 255, 255);\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1509073125385.jpg\" title=\"甲状腺癌手术后如何复查和治疗\" alt=\"甲状腺癌手术后如何复查和治疗\" width=\"600\" height=\"372\"/></span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">　对甲状腺癌患者，术后的复查和进一步治疗应包括：甲状腺功能的调节，肿瘤复发转移的及时发现和处理，手术后并发症的处理。</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">　手术切除一侧或全甲状腺后，应常规补充甲状腺素，使甲状腺功能尽量维持正常。对分化型甲状腺癌，长期补充甲状腺素，是临床上最常用的甲状腺癌患者的辅助治疗手段之一。其治疗目的是：</span>①替代：在甲状腺切除术后补充甲状腺素，防止出现术后甲状腺功能低下;②通过反馈抑制和降低促甲状腺激素水平，建立不利于残留甲状腺癌细胞复发或转移的环境，明显改善患者的预后。因此随诊过程中应密切注意的水平，最好维持在正常值之下，而其他指标在正常范围内。研究提示，持续抑制较之一直保持在以上有较长的无复发存活期。临床已经治愈的高危患者应考虑将保持在</span><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\">5-10</span><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">年。</span></span></p><p style=\"margin: 0px; text-indent: 32px; padding: 0px; text-align: center; line-height: 200%; background: rgb(255, 255, 255);\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1509072670246.jpg\" title=\"甲状腺癌手术后如何复查和治疗\" alt=\"甲状腺癌手术后如何复查和治疗\" width=\"600\" height=\"372\"/></span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">　甲状腺癌手术后，应定期复查以发现可能出现的肿瘤局部复发或转移，包括颈部、上纵隔淋巴结转移及远处转移，如肺、骨、脑等部位的转移。一般建议术后</span>3个月、6个月、1年定期复查，1年后每半年复查一次。检查方法包括常规体检、甲状腺及颈部b超、ct、同位素检查、胸片等，如发现可疑结节，必要时行细胞学或病理学检查以明确性质。一些血清学检查有时也有帮助，如对分化型甲状腺癌行全甲状腺切除者，(甲状腺球蛋白)明显升高提示肿瘤复发可能;对髓样癌患者，血清降钙素水平如大幅度升高，也提示肿瘤复发或转移。如果检查发现肿瘤出现局部复发或颈部、上纵隔淋巴结转移，多数患者仍可通过再次手术达到根治。对分化型甲状腺癌，如果出现肺转移，可以将残留甲状腺腺体全部切除，清除所有的转移淋巴结后，行131i同位素治疗，同样可以获得较好的疗效。对骨、脑等部位的远处转移者，有时可以先切除转移灶，再行同位素治疗。如不能手术切除，治疗同肺转移。特别需提醒的是：手术能切净的甲状腺分化型癌及髓样癌，术后不建议行放疗和化疗。因为放疗化疗不能带来更高的治愈率和控制率，相反会带来更多的副作用和并发症。只有对手术大部切除仅残留少量肿瘤的患者，术后辅以放疗能提高控制率，改善预后。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">对甲状腺未分化癌患者，可能出现短期内肿瘤复发或转移，所以随诊的间隔时间应缩小，比如</span>1个月1次。肿瘤一旦发现复发或转移，提示预后不佳，肿瘤往往生长迅速。大部分患者丧失再次手术机会，仅能对症处理或以放疗、化疗等进行控制，外科能做的工作可能仅是气管切开或气管造瘘解决通气，胃造瘘解决进食问题。</span></p><p style=\"margin: 0px; text-indent: 32px; padding: 0px; text-align: center; line-height: 200%; background: rgb(255, 255, 255);\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1509073408283.jpg\" title=\"甲状腺癌手术后如何复查和治疗\" alt=\"甲状腺癌手术后如何复查和治疗\" width=\"600\" height=\"372\"/></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(51, 51, 51);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">甲状腺切除及颈淋巴结清扫后，一些患者可能会出现手术相关的并发症，如喉返神经损伤造成声音嘶哑、进食呛咳，甲状旁腺损伤造成低钙血症，四肢面部麻木甚至抽搐，颈部神经损伤造成的相应功能障碍等。患者出院时并不能全部恢复正常，需要在随诊过程中加以观察、建议，辅助功能的恢复。尤其对全甲状腺切除后，甲状旁腺受到损伤，部分患者出现低钙血症，应及时将钙剂补充，方法包括口服或静脉输注钙剂，以尽量达到或接近正常血钙水平。出院后仍应定期复查血钙及甲状旁腺素水平，继续补充钙剂。对喉返神经及颈部其他神经损伤者，应指导患者进行功能训练，以尽快恢复或代偿受损的神经功能。</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p><span style=\";font-family:宋体;font-size:14px\">&nbsp;</span></p><p><br/></p>","barId":"1591","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"6379","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"甲状腺癌扩散如何治","content":"<h1 style=\"margin: 0px; text-indent: 0px; padding: 0px; text-align: center; line-height: 50px;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-weight: normal;font-size: 16px\"><span style=\"font-family:宋体\">&nbsp; &nbsp; <img src=\"http://01luntan.com/ly_img/uimgs/1508998310514.jpg\" title=\"1508998310514.jpg\" alt=\"14d64f21-1991-4b52-aea9-6c193f5d5a46.jpg\"/></span></span></h1><h1 style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;padding:0 0 0 0 ;text-align:justify;text-justify:inter-ideograph;line-height:50px\"><span style=\"font-family: 宋体;letter-spacing: 0;font-weight: normal;font-size: 16px\"><span style=\"font-family:宋体\">&nbsp; &nbsp; 甲状腺癌扩散如何治？</span></span></h1><p style=\"margin-top:0;margin-right:0;margin-bottom:0;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">&nbsp; &nbsp; 甲状腺乳头状腺癌及滤泡状腺癌占全部甲状腺癌的</span>80%-90%，这种癌细胞较成熟与正常甲状腺细胞差别较小，因此对放化疗不敏感，这是由于在对癌细胞达到致死剂量时往往也对人体正常组织造成不可逆转的损伤，而小剂量放化疗对分化性甲状腺癌毫无作用。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">因此对分化性甲状腺癌术后常规辅以放化疗并不能提高疗效，相反放化疗引起的毒副作用如化疗引起的脱发、白细胞、血小板下降，免疫功能下降及放射引起的组织萎缩、纤维化甚至预后诱发的放射区周围组织癌变等，均对患者带来极大的痛苦，严重影响患者的生存质量。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">所以大多数甲状腺癌术后常规辅助放化疗时需要进行科学有效的化疗药物搭配，合理适当的放疗安排治疗，通过综合治疗有效防止甲状腺癌术后癌细胞扩散转移，杀伤体内残余癌细胞，全面抑制肿瘤细胞负荷，对于无法手术治疗的甲状腺癌患者可改善患者全身身体状况，为手术治疗创造先机，改善治愈率，延续患者有效生存预期，远期疗效显著，可达到</span>“长期带瘤生存”的临床治愈状态。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p><br/></p>","barId":"1591","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"7977","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"甲状腺癌的常见病因有哪些","content":"<p style=\"text-indent: 28px; padding: 0px; line-height: 200%; text-align: left;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\"></span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">之前甲状腺癌在国内发病率是比较低的。但是最近年来的发病有上升趋势。发病年龄在</span>20岁以后明显上升趋势，30-34岁达高峰，大年龄达到54岁后明显下降。那么</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">，</span></span><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">甲状腺癌的常见病因</span></span></strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">有哪些呢？</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">下面我们一起来了解一下。</span></span></p><p style=\"text-indent: 28px; padding: 0px; line-height: 200%; text-align: left;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\"></span></span><br/></p><p style=\"text-indent: 28px; padding: 0px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1511235811268.png\" title=\"甲状腺癌的常见病因有哪些\" alt=\"甲状腺癌的常见病因有哪些\" width=\"600\" height=\"372\"/></span></span></p><p style=\";text-indent: 28px;padding: 0;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\"><br/></span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">1、</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">癌基因</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">多种核原癌基因，留存在甲状腺滤泡细胞中，对细胞生长、分化起重要作用。正常基因过渡表达，变更基因表达，以及抑制基因的丧失及癌基因扩增，这些均可促使细胞恶变发生恶性肿瘤。</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:32px;text-indent:0;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">2、</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">生长因子</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">比如促甲状腺激素、类胰岛素生长因子、转化生长因子等因素的影响。甲状腺乳头状癌细胞中分离出</span>ptc癌基因。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:32px;text-indent:0;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">3、</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">电离辐射</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">X线较碘131更具致癌作用，致癌机理是放射线诱导细胞突变促进生长，在亚致死量下可杀灭部分细胞减少TH分泌，反馈到垂体促甲状腺细胞增加TSH产生，促进具有潜伏恶性细胞增殖、癌变。放射线是致甲状腺癌的因素，己经广为接受。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:32px;text-indent:0;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">4、</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">缺碘</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">与甲状腺肿瘤的发生，关系尚不明确。甲状腺癌不仅在地方性甲状腺肿地区多发，沿海高碘地区亦较常发生。甲状腺肿地区多为滤胞癌，部分为间变癌，高碘地区多为乳头状癌。</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:32px;text-indent:0;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">5、</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">家族因素</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">具有一定的遗传倾向，有</span>3.5-6.2%同患甲状腺癌的可能性。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:32px;text-indent:0;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">6、</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">女性激素</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">甲状腺的生长受</span>TSH支配，对甲状腺癌起促进作用。甲状腺乳头状癌组织中有高含量女性激素受体的存在，女性激素有可能作为致癌因素之一。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:32px;text-indent:0;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">7、</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">其他</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">甲状腺增生疾病，如腺瘤样甲状腺肿、功能亢进性甲状腺肿，分别约有</span>5%、2%合并甲状腺癌。多年生长甲状腺瘤，少部分可以发生癌变。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:28px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">找良医网温馨提示：以上就是关于甲状腺癌的常见病因有哪些</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">的</span></span><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">介绍，相信大家也应该有一定的了解了，希望各位定期做身体检查，养成良好的生活饮食习惯，形成健康的作息规律，千万不可忽视生活中的小细节。如有身体不适请及时到医院就诊，早日查清病况及早治疗，以免延误治疗。最后，祝愿大家身体健康！</span></span></p><p style=\";text-indent: 28px;padding: 0;line-height: 200%\"><br/></p>","barId":"1591","topicTypeId":null,"topicThemeId":"1026","readLevel":0,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":3}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"7975","isDel":0,"createAt":1511234373783,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":1524284240934,"updateBy":"e8f7486fbba411e7a3d800163e04584d","updateName":"1516932689@qq.com","userId":"e8f7486fbba411e7a3d800163e04584d","title":"甲状腺癌发病率较高的原因","content":"<p style=\"text-indent: 28px; padding: 0px; line-height: 200%; background: rgb(255, 255, 255); text-align: left;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"></span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">甲状腺癌在目前处于频频高发的状态，对于人们的伤害是非常的严重，人们对甲状腺癌也非常的重视，那么到底</span></span><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">甲状腺癌发病率较高的原因</span></span></strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">是什么</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">呢？</span></span></p><p style=\"text-indent: 28px; padding: 0px; line-height: 200%; background: rgb(255, 255, 255); text-align: left;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"></span></span><br/></p><p style=\"text-indent: 28px; padding: 0px; line-height: 200%; background: rgb(255, 255, 255); text-align: center;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1511235286831.png\" title=\"甲状腺癌发病率较高的原因\" alt=\"甲状腺癌发病率较高的原因\" width=\"600\" height=\"372\"/></span></span></p><p style=\";text-indent: 28px;padding: 0;line-height: 200%;background: rgb(255, 255, 255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"><br/></span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">1、</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">放射性损伤</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">用</span>X线照射实验鼠的甲状腺，能够促使动物发生甲状腺癌。实验证明131Ⅰ能够使甲状腺细胞的代谢发生变化，细胞核变形，甲状腺素的合成大为减少。可见放射线一方面引起甲状腺细胞的异常分裂，导致癌变;另一方面使甲状腺破坏而不能产生内分泌素，由此引起的促甲状腺激素(TSH)大量分泌也能促发甲状腺细胞癌变。在临床上，很多事实说明甲状腺的发生与放射线的作用有关。特别令人注意的是，在婴幼期曾因胸腺肿大或淋巴腺样增殖而接受上纵隔或颈部放射治疗的儿童尤易发生甲状腺癌，这是因为儿童和少年的细胞增殖旺盛，放射线是一种附加刺激，易促发其肿瘤的形成。成人接受颈部放射治疗后发生甲状腺癌的机会则不多见。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:28px;text-indent:0;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">2、</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">碘和</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">摄碘过量或缺碘均可使甲状腺的结构和功能发生改变。如瑞士地方性甲状腺肿流行区的甲状腺癌发病率为</span>2‰较柏林等非流行高出20倍。相反，高碘饮食也易诱发甲状腺癌，冰岛和日本是摄碘量最高的国家，其甲状腺癌的发现率较其他国家高。这可能与TSH刺激甲状腺增生的因素有关。实验证明，长期的TSH刺激能促使甲状腺增生，形成结节和癌变。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">3、</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">其他甲状腺病变</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">临床上有甲状腺腺癌、慢性甲状腺炎、结节性甲状腺肿或某些毒性甲状腺肿发生癌变的报道，但这些甲状腺病变与甲状腺癌的关系尚难肯定。以甲状腺腺瘤为例，甲状腺腺瘤绝大多数为滤泡型，仅</span>2～5%为乳头状瘤;如甲状腺癌由腺瘤转变而成，则绝大多数应为滤泡型，而实际上甲状腺癌半数以上为服头状癌，推测甲状腺腺瘤癌变的发生率也是很小的。这是甲状腺癌的发病原因之一。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">4、</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">遗传因素</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">约</span>5～10%甲状腺髓样癌有明显的家族史，而且往往合并有嗜铬细胞瘤等闰，推测这类癌的发生可能与染色体遗传因素有关。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:28px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">找良医网温馨提示：以上就是关于甲状腺癌发病率较高的原因</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">的</span></span><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">介绍，希望能对大家有所帮助，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗，以免延误治疗。最后，祝愿大家身体健康！</span></span></p><p style=\";text-indent: 28px;padding: 0;line-height: 200%;background: rgb(255, 255, 255)\"><br/></p>","barId":"1591","topicTypeId":"1","topicThemeId":"1026","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1080,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1511234373785,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1511234373785,"metaSearch":null,"rn":null},"userAllInfo":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":null,"password":null,"level":0,"nickName":null,"realName":null,"signName":null,"head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":0,"userType":0,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0,"forumUser":{"id":"e8f7486fbba411e7a3d800163e04584d","isDel":0,"createAt":1509170261557,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"王可可","password":"wrj123123","level":0,"nickName":"搁浅","realName":null,"signName":"总有一天你的努力会收获","head":"http://01luntan.com/ly_img/1520299822787.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"1516932689@qq.com","address":null,"identityType":7,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"forumUserActiveInfo":{"id":"e8fcc8c5bba411e7a3d800163e04584d","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":1532599744412,"updateBy":"e8f7486fbba411e7a3d800163e04584d","updateName":"1516932689@qq.com","userId":"e8f7486fbba411e7a3d800163e04584d","topicCount":3583,"replayCount":47,"favorteCount":0,"beFavorteCount":0,"creamCount":0,"focusCount":0,"fansCount":0,"integralCount":6027,"foodCouponCount":8120,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"newPass":null,"focusBar":null,"counter":null,"forumUserIdentificateDto":null},"theme":{"id":"1026","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"topicTypeId":"1","topicTypeName":"资讯","themeName":"病因","barType":"102","schemaName":2,"reward":0},"page":1,"favorties":true,"isSelf":false,"order":"asc"}