摘要
目的研究甲状腺癌患者颈部淋巴结的转移方式。方法采用回顾性分析方法,对我院2009年1月至2011年1月期间收治的76例甲状腺癌患者的临床病历资料进行分析,评价患者颈部淋巴结转移方式。结果患者每侧颈清扫淋巴结数目9～22个,平均12.2个;病理证实的每侧淋巴结转移数目2～20个,平均7.2个。同时,在转移情况上,患者颈部Ⅰ区未发现转移性淋巴结,Ⅵ区、Ⅲ区、Ⅳ区淋巴结的转移率明显高于Ⅱ区、Ⅴ区(P<0.05)。此外,于术后对本组患者进行了12～18个月的随访,所有患者均未发现癌肿复发情况,均未发现远处转移迹象。结论甲状腺癌颈部淋巴结转移最常见于Ⅵ区淋巴结,其次为Ⅲ+Ⅳ区。在清扫方式上,Ⅰ区可不纳入清扫范围,Ⅵ区、Ⅲ区、Ⅳ区为清扫重点区域,但Ⅱ区、Ⅴ区的清扫不容忽视。
Objective To explore the metastatic mode of cervical lymph node in patients with thyroid carcinoma. Methods The clinical data of 76 patients with thyroid carcinoma in our hospital from January 2009 to January 2011 were analyzed retrospectively. The metastatic modes of cervical lymph node were evaluated. Results The number of cleaned lymph nodes of each cervical side was 9 to 22 （average 12.2）. The number of lymph nodes of each cervical side proved by pathology was 2 to 20 （average 7.2）. No metastatic lymph node was found in zones I, and the lymph node metastasis rate in zone VI, zone m, zone IV were higher than that of zone II, zone V （P〈0.05）. All the patients were followedup for 12to 18 months, no neoplastic recurrence or distant metastasis was foundin allpatients. Conclusions The thyroid carcinoma lymph node metastasis is most common in the VI lymph node, then Ⅲ ＋ Ⅳ area. In the cleaning mode, zone I will not be sweeping in scope, zone VI, zone m, zone IV are the key areas for cleaning, but zone Ⅱ, zone V cleaning cannot be ignored.
出处
《临床医学工程》
2013年第5期585-586,共2页
Clinical Medicine & Engineering
