作　　者： ;

机构地区： 广州医科大学

出　　处： 《医学与哲学：A》 2018年第10期21-25,共5页

摘　　要： 分化型甲状腺癌是一种发病年龄轻、预后良好的疾病，但由于手术不规范化的存在、肿瘤复发和转移的出现，患者不得不面临再次手术的问题；患方对医方所提供的医疗方案存在意见不一致的情况。医方可依据分化型甲状腺癌的特点，应用“甲状腺癌危险度分层评估系统”、“动态危险度分层评估模式”，对甲状腺癌术后患者制定前次规范手术医疗方案实施路径和前次不规范手术医疗方案实施路径；医方坚持不时与患方进行沟通，以医疗方案路径的临床模式为基础，以医患双方共同接受的医疗方案为目的，达到医患共同决策，这有利于术后患者获益。 Although differentiated thyroid carcinoma （DTC） is characterized by early tumorigenesis, most patients with DTC have well prognosis. However, some DTC patients suffered from reoperation resulting from nonstandard operation, tumor metastasis or recurrence. DTC patients always have different opinions on the therapy strategy. Thus, we planed to formulate preoperative standardized surgical therapy strategy for post-operated DTC patients, as well as previous nonstandard operation surgical therapy strategy. These therapy strategies were formulated by using ＂risk stratification appraised system of thyroid carcinoma＂ and ＂dynamic risk stratification appraised pattern＂ according to the characteristics of DTC. We considered that it was benefit for the DTC patients by establishing effective communication and codetermined therapy strategy, which based on the clinical strategy.

关 键 词： 术后评估 动态观察 医患沟通 医惠共同决策

分 类 号： [R-02]

领　　域： []