超声特征对甲状腺乳头状癌颈部淋巴结转移的预测价值

发布时间：2018-04-20 02:27

本文选题：甲状腺乳头状癌 + 颈部淋巴结转移　；参考：《医学研究生学报》2017年12期

【摘要】：目的目前影像技术对甲状腺乳头状癌(PTC)患者颈部淋巴结转移性(CLNM)的检出率较低。文中旨在探讨超声诊断特征对PTC患者CLNM的预测价值。方法回顾性分析2016年1月至2017年3月南京军区南京总医院超声诊断科行超声检查并经术后病理证实PTC的169例患者资料(共切除结节219枚)。依据手术病理报告有淋巴结转移者83例、无淋巴结转移者86例,统计患者年龄、结节形态及大小等指标。分析患者PTC CLNM的相关危险因素。结果患者年龄(OR=0.211,95%CI:0.078~0.571)、结节大小(OR=3.116,95%CI:1.498~6.482)、结节形态(OR=3.000,95%CI:1.301~6.913)是淋巴结转移的危险因素。患者年龄、结节形态、结节大小、微钙化与CLNM相关,其预测PTC患者CLNM的敏感性分别为91%、79%、61%、75%。结论患者年龄30岁以内、结节最大径1 cm、形态不规则,伴有微钙化特征等超声特征对PTC患者CLNM有一定预测价值。
[Abstract]:Objective at present, the detection rate of cervical lymph node metastasis (CLNM) in patients with papillary thyroid carcinoma (PTC) is low. The purpose of this study was to evaluate the predictive value of ultrasonic diagnostic features for CLNM in patients with PTC. Methods from January 2016 to March 2017, the data of 169 patients with PTC confirmed by pathology were analyzed retrospectively. 83 cases with lymph node metastasis and 86 cases without lymph node metastasis were reported according to operation and pathology. The age, shape and size of nodes were counted. The risk factors of PTC CLNM were analyzed. Results the risk factors of lymph node metastasis were 0.21195% CI: 0.078 0.571g, the size of the node was 3.11695%, the size of the node was 3.11695%, the shape of the nodule was 3.000995%, and the nodule shape was 3.0001.301 ~ 6.913). Age, nodule shape, nodule size and microcalcification were correlated with CLNM. The sensitivity to predict CLNM in PTC patients was 9179 and 6175, respectively. Conclusion Ultrasonic features such as age less than 30 years old, maximum diameter of 1 cm, irregular shape and microcalcification are useful in predicting CLNM in patients with PTC.
【作者单位】：南京大学医学院附属金陵医院(南京军区南京总医院)超声诊断科;南京市浦口医院超声诊断科;
【分类号】：R445.1;R736.1

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