Objective To explore the prognostic factors of type 2 diabetes mellitus(T2DM)patients with thyroid canc-er.Methods A retrospective analysis was conducted on the clinical data of 98 patients with T2DM combined with thyroid canc-er.All patients underwent surgery and were followed up for 1 year after surgery,and their survival and mortality rates were calcu-lated;Assign surviving patients to a good prognosis group,and assign deceased patients to a poor prognosis group.Collect data on age,gender,and other factors that affect the prognosis of T2DM patients with thyroid cancer.Results Among the 98 T2DM pa-tients with thyroid cancer,75 survived with a survival rate of 76.53%(75/98)and 23 died with a mortality rate of 23.47%(23/98);Univariate analysis showed that age,course of diabetes,lymph node metastasis,and clinical stage were significantly related to the prognosis of T2DM patients with thyroid cancer(P<0.05);Logistic regression analysis showed that age>60 years,duration of diabetes>5 years,lymph node metastasis,and stage Ⅲ~Ⅳ were independent risk factors for poor prognosis of T2DM patients with thyroid cancer(P<0.05).Conclusion Age>60 years,course of diabetes>5 years,lymph node metastasis,and stage Ⅲ~Ⅳ are the factors that affect the prognosis of T2DM patients with thyroid cancer,which should be paid more attention to clinically.
关键词
2型糖尿病合并甲状腺癌/预后/危险因素/淋巴结转移
Key words
Type 2 diabetes with thyroid cancer/Prognosis/Risk factors/Lymph node metastasis