甲状腺乳头状癌颈部淋巴结转移及转移区域相关因素分析

发布时间：2018-04-09 20:49

  本文选题：超声检查　切入点：甲状腺乳头状癌　出处：《中国超声医学杂志》2015年03期

【摘要】：目的探讨甲状腺乳头状癌(PTC)颈部淋巴结转移及转移区域的相关因素。方法回顾性分析388例PTC患者的年龄、性别、PTC结节声像图特征。结果男性患者、PTC合并结节性甲状腺肿、PTC结节最大径1.0cm、边缘不规则、接触被膜及被膜不连续是PTC颈部淋巴结转移的独立危险因素(P0.05)。PTC结节多发、位于甲状腺上部、最大径≥3.0cm及被膜不连续是颈部淋巴结多区域转移的危险因素(P0.05);PTC结节位于甲状腺上部是颈部淋巴结跳跃性转移的危险因素(P0.05)。结论患者的性别及PTC结节的声像图特征,对颈部淋巴结转移及转移区域具有一定的预测作用,可为临床选择合理的颈部淋巴结清扫手术方式提供参考依据。
[Abstract]:Objective to investigate the related factors of cervical lymph node metastasis and metastasis in papillary thyroid carcinoma (PTC).Methods the age and sex of 388 patients with PTC were analyzed retrospectively.Results the largest diameter of PTC nodules in male patients with nodular goiter was 1.0 cm, the margin was irregular, and the contact and discontinuity of the capsule were the independent risk factors of cervical lymph node metastasis of PTC. P0.05. PTC nodules were located in the upper part of thyroid gland.Maximum diameter 鈮，

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