国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2014年
2期
86-90
,共5页
甲状腺微小癌%淋巴结%淋巴转移%颈淋巴结清扫术
甲狀腺微小癌%淋巴結%淋巴轉移%頸淋巴結清掃術
갑상선미소암%림파결%림파전이%경림파결청소술
Thyroid microcarcinoma%Lymph nodes%Lymphatic metastasis%Neck lymph node dissection
目的 通过分析甲状腺微小癌颈淋巴结转移临床病理特征,探讨颈淋巴节转移规律及影响因素,为颈淋巴结清扫指征及范围提供临床依据.方法 回顾性收集2007年1月-2011年12月大连医科大学附属第一医院普外科初次收治并经术后病理证实为甲状腺微小癌的187例患者的临床病理资料,分析颈淋巴结各区转移率、影响淋巴结转移的因素.结果 187例甲状腺微小癌中,颈淋巴节转移率、中央区(Ⅵ区)转移率、颈侧区转移率分别为26.7％ (50/187)、23.0％ (43/187)、13.9％(26/187).多因素分析显示,肿瘤最大直径≥5 mm、多发癌灶、甲状腺被膜侵犯与甲状腺微小癌颈部淋巴结转移密切相关(P＜0.05).结论 甲状腺微小癌颈淋巴结转移常见于中央区,其中肿瘤最大直径≥5 mm、多发癌灶以及甲状腺被膜侵犯的患者更易发生颈淋巴节转移,应常规行中央区淋巴结清扫术.
目的 通過分析甲狀腺微小癌頸淋巴結轉移臨床病理特徵,探討頸淋巴節轉移規律及影響因素,為頸淋巴結清掃指徵及範圍提供臨床依據.方法 迴顧性收集2007年1月-2011年12月大連醫科大學附屬第一醫院普外科初次收治併經術後病理證實為甲狀腺微小癌的187例患者的臨床病理資料,分析頸淋巴結各區轉移率、影響淋巴結轉移的因素.結果 187例甲狀腺微小癌中,頸淋巴節轉移率、中央區(Ⅵ區)轉移率、頸側區轉移率分彆為26.7％ (50/187)、23.0％ (43/187)、13.9％(26/187).多因素分析顯示,腫瘤最大直徑≥5 mm、多髮癌竈、甲狀腺被膜侵犯與甲狀腺微小癌頸部淋巴結轉移密切相關(P＜0.05).結論 甲狀腺微小癌頸淋巴結轉移常見于中央區,其中腫瘤最大直徑≥5 mm、多髮癌竈以及甲狀腺被膜侵犯的患者更易髮生頸淋巴節轉移,應常規行中央區淋巴結清掃術.
목적 통과분석갑상선미소암경림파결전이림상병리특정,탐토경림파절전이규률급영향인소,위경림파결청소지정급범위제공림상의거.방법 회고성수집2007년1월-2011년12월대련의과대학부속제일의원보외과초차수치병경술후병리증실위갑상선미소암적187례환자적림상병리자료,분석경림파결각구전이솔、영향림파결전이적인소.결과 187례갑상선미소암중,경림파절전이솔、중앙구(Ⅵ구)전이솔、경측구전이솔분별위26.7％ (50/187)、23.0％ (43/187)、13.9％(26/187).다인소분석현시,종류최대직경≥5 mm、다발암조、갑상선피막침범여갑상선미소암경부림파결전이밀절상관(P＜0.05).결론 갑상선미소암경림파결전이상견우중앙구,기중종류최대직경≥5 mm、다발암조이급갑상선피막침범적환자경역발생경림파절전이,응상규행중앙구림파결청소술.
Objective To analyze retrospectively the factors related with lymph node metastasis in thyroid microcarcinoma.Methods One hundred and eieghty-seven cases of thyroid microcarcinoma were collected from the First Affiliated Hospital of Dalian Medical University from January 2007 to December 2011,who were operated at the first time and confirmed by pathology.According to the occurrence of lymph node metastasis,they were divided into metastasis group and non-metastasis group.The factors related were analyzed retrospectively.Results The total metastasis rate was 26.7％ (50/187),the metastasis rate of central lymph node was 22.9％ (43/187),and the metastasis rate of lateral lymph node was 11.8％ (22/187).Tumor's diameter more than 5 mm,multiple foci and extrathyroidal extension were related to neck lymph node metastasis of thyroid microcarcinoma (P ＜ 0.05).Conclusions Neck lymph node metastasis was seen most common in central lymph nodes.Tumor size,multiple foci and extrathyroidal extension were related to neck lymph node metastasis of thyroid microcarcinoma,operation therapy should be routinely performed.
