国际医药卫生导报2019，Vol.25Issue(11)：1780-1783,1815,5.DOI:10.3760/cma.j.issn.1007-1245.2019.11.031
超声评估甲状腺微小癌颈部淋巴结转移的特征及相关危险因素分析
Ultrasonographic evaluation of cervical lymph node metastasis in thyroid microcarcinoma and analysis of risk factors
摘要
Abstract
Objective To evaluate the characteristics of cervical lymph node metastasis (CLNM) in thyroid microcarcinoma (TMC) by ultrasonography,and to further analyze the related risk factors affecting CLNM.Methods 183 TMC patients hospitalized in our hospital from October,2015 to December,2018 were selected as study objects,and were confirmed by surgery and pathology.According to lymph node metastasis,the patients were divided into a CLNM group (n=56) and a no CLNM group (n=127).The ultrasonographic features of the two groups were analyzed,and the risk factors of CLNM in the TMC patients were analyzed by binary logistic regression analysis.Results A total of 203 lesions were found in the 183 TMC patients;56 cases (63 lesions) of CLNM and 127 cases (140 lesions) without CLNM were found by pathology after operation.With pathological results as the gold standard,the diagnostic specificity of ultrasound for CLNM was 96.06％ and the diagnostic coincidence rate was 72.68％.There were significant differences in age,tumor maximum diameter,tumor morphology,and calcification between the two groups (all P ＜ 0.05).The results of logistic regression analysis showed that the risk factors of CLNM in the TMC patients were ＜ 55 years old,tumor maximum diameter ≥ 0.5 cm,and irregular tumor shape (all P ＜ 0.05).Conclusions Ultrasound has a high diagnostic specificity for CLNM.In clinical work,attention should be paid to young and middle-aged TMC patients with irregular shape and maximum diameter of tumors (≥ 0.5 cm) and corresponding treatment should be given to control the incidence of CLNM.关键词
超声/微小癌/甲状腺/淋巴结转移/颈部/危险因素Key words
Ultrasound/Microcarcinoma/Thyroid/Lymph node metastasis/Neck/Risk factors引用本文复制引用
昃亮,周恒,张晴..超声评估甲状腺微小癌颈部淋巴结转移的特征及相关危险因素分析[J].国际医药卫生导报,2019,25(11):1780-1783,1815,5.
