摘要
目的 分析甲状腺非微小乳头状癌患者颈部淋巴结转移的危险因素。方法 回顾性分析2013-2015年于本院行初次甲状腺结节切除手术的1034例甲状腺结节患者,其中甲状腺非微小乳头状癌患者共132例,其中发生颈部淋巴结转移的患者60例,无颈部淋巴结转移的72例,比较两组间的一般临床特征,采用多元Logistic回归分析甲状腺非微小乳头状癌患者颈部淋巴结转移的独立危险因素。结果 1132例甲状腺非微小乳头状癌患者中,与无淋巴结转移组相比,淋巴结转移组的甲状腺结节多灶的发生率更高（58.33%vs 22.22%,P〈0.05）。2应用多元Logistic回归分析,结果显示甲状腺结节多灶与甲状腺非微小乳头状癌淋巴结转移呈正相关（P〈0.05）。结论甲状腺结节多灶是甲状腺非微小乳头状癌颈部淋巴结转移的独立危险因素。
Objective To investigate the risk factors of cervical lymph node metastasis in patients with papillary thyroid non-micro caricinoma. Methods From 2013 to 2015, a total of 1034 patients underwent thyroidectomy in our hospital, and 132 cases of them were diagnosed with papillary thyroid non-micro caricinoma. Of these patients, 60 cases had cervical lymph metastasis, and 72 cases without lymph node metastasis. Several clinicopathological factors were compared between the two groups. The multiple Logistic regression was used to analyze the independent risk factor of cervical lymphnode metastasis in patients with papillary thyroid non-micro caricinoma. Results （1）Of 132 patients with papillary thyroid non-micro caricinoma, compared with those without lymph node metastasis, thyroid multinodule was more frequent （58.33% vs 22.22%, P〈0.05） in patients with lymph node metastasis. （2）Multiple Logistic regression analysis showed that thyroid multinodule was positively associated with cervical lymph node metastasis（P〈0.05）. Conclusion Thyroid muhinodule is an independent risk factor for cervical lymph node metastasis in patients with papillary thyroid non-micro caricinoma.
出处
《中国现代医生》
2016年第26期24-26,共3页
China Modern Doctor
关键词
结节多灶
非微小
甲状腺乳头状癌
颈部淋巴结转移
危险因素
Thyroid multinodule
Non-micro
Papillary thyroid carcinoma
Cervical lymph node metastasis
Risk factor
