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Objective To explore the clinical effect of surgical treatment for nodular goiter complicated with thyroid cancer,thus to provide clinical guidance .Methods From October 2011 to April 2016,50 nodular goiter patients complicated with thyroid carcinoma in Longshan Hospital of Cixi were selected in the research , and the clinical data of the patients were retrospectively analyzed .Patients were treated with surgery ,and were followed up for 1 year.The patients'quality of life scores before and after treatment ,clinical efficacy and complications were analyzed . Results After sungery,the scores of mental,physical,material life,social relations,the general quality of life score were (86.71 ±5.51) points,(84.63 ±5.46) points,(85.24 ±5.53) points,(81.35 ±5.42) points,(83.56 ± 4.58)points,which were significantly higher than those before treatment (t =10.063,9.124,10.683,8.455, 10.504,all P <0.05).The patients were followed-up for 1 year, no obvious complications were observed in 50 patients,and 50 cases after treatment with surgery ,34 patients had marked effect ,13 patients were effective, 3 patients were invalid,the total effective rate was 94.00％.Conclusion The surgical treatment for nodular goiter complicated with thyroid carcinoma has significant therapeutic effect .
RESUMO
Objective To review the status of diagnosis and treatment for invasive fungal pulmonary infections(IFPI)in Lishui Central Hospital.Methods The clinical data of 79 patients with IFPI were retrospectively analyzed.Results The diagnostic status could be classified ills follows:6 eases had confirmed diagnosis,30 had clinical diagnosis,35 had suspected diagnosis and 8 misdiagnosed.The treatments were all effeetive in 6 COnfirmed cases;in 30 clinically diagnosed cases,6 were eriective.21 were inefiective and 3 died;in 35 suspected cases.3 were effective.25 were iHefieetive and 7 cflses did not receive antifungal treatment.Aspergillus and Cryptococcus pulmonary infections were predominant in confirmed cases.and the antifungal treatment lasted for 3 to 6 months.Conclusion Diagnosis and treatment for IFPI need to be improved.