山西医科大学学报2017，Vol.48Issue(6)：593-596,4.DOI:10.13753/j.issn.1007-6611.2017.06.018
甲状腺微小乳头状癌中央区淋巴结转移危险因素分析
Analysis of risk factors for central lymph node metastasis in patients with papillary thyroid microcarcinoma
摘要
Abstract
Objective To explore risk factors of central lymph node metastasis in patients with papillary thyroid microcarcinoma(PTMC).Methods Clinical pathological data of 252 cases of PTMC were retrospectively analyzed in Affiliated Traditional Chinese Medicine Hospital,Xinjiang Medical University from 2014 to 2016.The risk factors of central lymph node metastasis in PTMC were analyzed byx2 and multi-factor Logistic regression model.Results The ratio of male to female was 1 ∶ 3.9 for PTMC patients with average age of (42.5 ± 2.5)years.The metastasis rate of central lymph node was 31％.Single factor analysis showed that the incidence of central lymph node metastasis was correlated with tumor diameter,capsular invasion,gravel body in the lesions,but not with age,gender,Hashimoto's thyroiditis,center fibrosis of the lesion,and papillary structure.Multi-factor Logistic regression model revealed that the tumor size ＞ 5 mm and capsular invasion were independent risk factors for central lymph node metastasis.Conclusion The tumor diameter ＞ 5 mm and capsular invasion are prone to central lymph node metastasis in PTMC patients.It is necessary to perform central lymph node dissection during operation by frozen diagnosis preventively.关键词
甲状腺微小乳头状癌/中央区淋巴结转移/危险因素Key words
papillary thyroid microcarcinoma/central lymph node metastasis/risk factors分类
医药卫生引用本文复制引用
张静,杨昕,王薇..甲状腺微小乳头状癌中央区淋巴结转移危险因素分析[J].山西医科大学学报,2017,48(6):593-596,4.基金项目
新疆维吾尔自治区自然科学基金资助项目(2012211A046) （2012211A046）
