中外医学研究2016，Vol.14Issue(21)：4-5,6,3.DOI:10.14033/j.cnki.cfmr.2016.21.002
甲状腺乳头状癌颈部淋巴结转移的分布规律及相关因素的临床分析
The Clinical Analysis of the Distribution and Related Factors of Thyroid Papillary Carcinoma with Cervical Lymph Node Metastasis
王宁宁 1叶国超2
作者信息
- 1. 大连医科大学公共卫生学院 辽宁 大连 116044
- 2. 湖州市中心医院
- 折叠
摘要
Abstract
Objective:To analyze the distribution and related factors of the cervical lymph node metastases of thyroid papillary carcinoma. Method:The clinical data of 178 cases of thyroid papillary carcinoma patients who underwent surgery in our hospital from August 2013 to February 2015 were reviewed retrospectively.The correlation between the distribution of lymph node metastasis and patients’ age,gender,tumor size,primary focal capsular invasion were analyzed.Result:The proportion of lymph node metastases of different partition had statistically significant difference(P<0.01).InⅥzone,the transfer rate was the highest to 51.30%.The rates of lymph node metastases in patients who were older than 45 years,with multifocal lesions,lymph node metastases in Ⅵregion more than three and with primary focal capsular invasion were higher(P<0.05).Moreover,multifactorial Logistic regression analysis results showed that the primary focal capsular invasion of thyroid papillary carcinoma was a independent risk factor for cervical lymph node metastases(P<0.05).Conclusion:The cervical lymph node metastases of thyroid papillary carcinoma is more focused on theⅥandⅢzone,so clinical neck dissection shall focus on cleaning these partitions especially theⅥzone. In addition,primary focal capsular invasion as the independent risk factor for cervical lymph node metastases of thyroid carcinoma can be a indication to judge whether lymph node metastases exists.关键词
甲状腺乳头状癌/淋巴结转移/分布规律Key words
Thyroid papillary carcinoma/Lymph node metastasis/Distribution regularity分类
医药卫生引用本文复制引用
王宁宁,叶国超..甲状腺乳头状癌颈部淋巴结转移的分布规律及相关因素的临床分析[J].中外医学研究,2016,14(21):4-5,6,3.
