中国耳鼻咽喉头颈外科2017，Vol.24Issue(5)：233-236,4.DOI:10.16066/j.1672-7002.2017.05.004
中央区浅层淋巴结与甲状腺乳头状癌右喉返神经后方淋巴结的相关研究
Clinical research about level Ⅵ-1 lymph nodes and the lymph nodes posterior to the right recurrent laryngeal nerve of the papillary thyroid carcinoma
摘要
Abstract
OBJECTIVE The objective of this study is to discuss when to dissect the lymph nodes behind the right recurrent laryngeal nerve (LN-prRLN) from the standpoint of the right cervical level Ⅵ-1 (superficial layer to the recurrent laryngeal nerve) lymph nodes in papillary thyroid carcinoma (PTC) patients.METHODS The clinical data of 306 bilateral or right PTC patients from the Hangzhou First People's Hospital who underwent dissection of level Ⅵ-1 lymph nodes and LN-prRLN between March 2014 and September 2015 were analyzed. We measured the number of level Ⅵ-1 metastatic lymph nodes and size of level Ⅵ-1 lymph nodes metastasis loci to predict the metastasis of LN-prRLN.RESULTS The number of level Ⅵ-1 metastatic lymph nodes and size of level Ⅵ-1 lymph nodes metastasis loci were risk factors of LN-prRLN metastasis(P<0.05). When the number of the level Ⅵ-1 metastatic lymph nodes was greater than 1.5, the AUC was 0.813 (the sensitivity was 78.43%, the specificity was 76.65%). The ROC showed that when the size of level Ⅵ-1 lymph nodes metastasis loci were more than 0.45 cm, the AUC was 0.726 (sensitivity was 90.20%, specificity was 48.90%).CONCLUSION In bilateral or right PTC patients with metastasis of level Ⅵ-1 lymph nodes, especially when the number of level Ⅵ-1 metastatic lymph nodes was greater than 2cm and the metastasis loci were more than 0.45 cm, we should dissect the LN-prRLN.关键词
甲状腺肿瘤/预测/淋巴结转移/中央区淋巴结Key words
Thyroid Neoplasms/Forecasting/Lymph Nodes/central compartment lymph nodes引用本文复制引用
时晶晶,徐骁诚,武剑,丁金旺,彭友,张卧,潘钢,张煜,罗定存..中央区浅层淋巴结与甲状腺乳头状癌右喉返神经后方淋巴结的相关研究[J].中国耳鼻咽喉头颈外科,2017,24(5):233-236,4.基金项目
浙江省公益技术应用研究项目(2017C33180)、杭州市重大科技创新专项项目(20131813A08)、浙江省医药卫生科技计划项目(2014KYB203)、杭州市医药卫生科技计划项目(2012B004、2013Z04)和杭州市科技计划项目(20160533B05)联合资助 （2017C33180）
