中国临床药理学杂志Issue(2):96-98,3.DOI:10.13699/j.cnki.1001-6821.2015.02.005
颈淋巴结阴性的甲状腺乳头状微灶癌中央组淋巴结转移的危险因素分析
Analysis clinical risk factors on central compartment lymph node metastasis in papillary thyroid mirrocarcinoma
杨杰 1曹树立 2刘同喜 1何彪1
作者信息
- 1. 宁波市第九医院 普外科,浙江 宁波315020
- 2. 宁波市第二医院 普外科,浙江 宁波 315020
- 折叠
摘要
Abstract
Objective To analyze the risk factors of central compart-ment lymph node ( CCLN) metastasis in papillary thyroid micro carcino-ma ( PTMC ) without clinical cervical lymph node metastasis ( cN0 ) , according to the general situation of paratracheal lymph node metastasis in PTMC.Methods Clinical data of 120 PTMC ( cN0 ) patients who underwent radical thyroidectomy and CCLN dissection were retrospective-ly analyzed.Patients were divided into CCLN positive group ( 40 cases ) and CCLN negative group (80 cases) according to postoperative pathology results, and the risk factors were analyzed.Results The CCLN metasta-sis rate of PTMC was 33.3%.Position ( P<0.05 ) , capsular invasion (P<0.05), multifocal PTMC (P<0.01) were the risk factors of CCLN metastasis.Conclusion The ( cN0 ) PTMC has a high rate of pathologi-cal CCLN metastasis.It is imperative to conduct the thyroidectomy with ipsilateral level Ⅵ lymph node dissection in PTMC patients , especially those with related risk factors.关键词
甲状腺乳头状微灶癌/中央组淋巴结/颈淋巴结转移/Logistic回归模型Key words
papillary thyroid mirco carcinoma/central compartment lymph node/cervical lymph node metastasis/Logistic regression mode分类
医药卫生引用本文复制引用
杨杰,曹树立,刘同喜,何彪..颈淋巴结阴性的甲状腺乳头状微灶癌中央组淋巴结转移的危险因素分析[J].中国临床药理学杂志,2015,(2):96-98,3.