摘要
目的:分析甲状腺微小乳头状癌(papillary thyroid micropapillary carcinoma,PTMC)颈部淋巴结转移的影响因素。方法:回顾性选取2016年10月-2021年9月浦城县医院进行治疗的273例(原发灶321个)PTMC患者作为研究对象。所有患者均进行超声检查及术后病理。分析所有患者的术后病理结果,对PTMC患者颈部淋巴结转移进行单因素及多因素分析。结果:273例PTMC患者(原发灶321个)颈部淋巴结转移82例(原发灶95个),未发生颈部淋巴结转移191例(原发灶226个),PTMC伴颈部淋巴结转移发生率为30.04%(82/273)。颈部淋巴结转移患者男性、≤50岁、形态不规则、病灶不光整、病灶微钙化占比均高于未发生颈部淋巴结转移患者(P<0.05)。logistic结果显示,男性、病灶形态不规则、年龄≤50岁均是PTMC患者发生颈部淋巴结转移的危险因素(P<0.05)。结论:男性、病灶形态不规则、年龄≤50岁均是PTMC患者发生颈部淋巴结转移的危险因素,其中病灶形态不规则可以作为预测PTMC患者颈部淋巴结转移的重要超声指标。
Objective: To analyze the influencing factors of cervical lymph node metastasis of papillary thyroid micropapillary carcinoma(PTMC) of the primary focus. Method: A total of 273 patients(321 primary focus) with PTMC who were treated in Pucheng County Hospital from October 2016 to September 2021 were selected retrospectively as the study subjects. All patients were examined by ultrasound and postoperative pathology. The postoperative pathological results of all patients were analyzed, and the cervical lymph node metastasis of PTMC patients was analyzed by single factor and multi factor analysis. Result: Among 273 patients with PTMC(321primary focus), 82 patients with cervical lymph node metastasis(95 primary focus), 191 patients without cervical lymph node metastasis(226 primary focus), and the incidence of PTMC with cervical lymph node metastasis was 30.04%(82/273). The proportions of male, ≤50years old, irregular shape, uneven lesion and microcalcification lesion in patients with cervical lymph node metastasis were higher than those in patients without cervical lymph node metastasis(P<0.05). logistic results showed that male, focus irregular shape and age ≤50years old were all risk factors for cervical lymph node metastasis in PTMC patients(P<0.05). Conclusion: Male, focus irregular shape, and age ≤50 years old are all risk factors for cervical lymph node metastasis in PTMC patients, and focus irregular shape can be an important ultrasound indicator for predicting cervical lymph node metastasis in PTMC patients.
作者
邓文娟
马崇坡
DENG Wenjuan;MA Chongpo(Pucheng County Hospital,Pucheng 353400,China;不详)
出处
《中外医学研究》
2023年第1期158-162,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
甲状腺微小乳头状癌
超声检查
颈部淋巴结转移
Papillary thyroid micropapillary carcinoma
Ultrasonic examination
Cervical lymph node metastasis
