CAJ | 학술논문

目的：探讨甲状腺乳头状瘤超声表现与颈部淋巴结转移两者的相关性。方法：选取2013年3月到2014年3月收治的甲状腺乳头状瘤患者142例共160个结节。根据术后病理结果将入选患者分为颈部淋巴结转移组；没有发生颈部淋巴结转移的患者则为对照组。结果：转移组和对照组超声检查原发灶超声特征对比，转移组的钙化和毛刺对比对照组有统计学差异。患者的颈部淋巴结超声特征，转移组患者的囊变坏死、钙化、淋巴结边界等对比对照组有统计学差异（ P<0.05）。采用Logistic回归分析对相关的危险因素进行分析，包括原发灶内钙化、淋巴结边界、淋巴结钙化以及淋巴结囊变坏死等4个方面，囊变坏死和淋巴结钙化与甲状腺乳头癌颈部淋巴结转移呈正相关。结论：甲状腺乳头状瘤超声结果显示有淋巴结囊变坏死以及淋巴结钙化是预测是否出现颈部淋巴转移的关键诊断指标。
목적：탐토갑상선유두상류초성표현여경부림파결전이량자적상관성。방법：선취2013년3월도2014년3월수치적갑상선유두상류환자142례공160개결절。근거술후병리결과장입선환자분위경부림파결전이조；몰유발생경부림파결전이적환자칙위대조조。결과：전이조화대조조초성검사원발조초성특정대비，전이조적개화화모자대비대조조유통계학차이。환자적경부림파결초성특정，전이조환자적낭변배사、개화、림파결변계등대비대조조유통계학차이（ P<0.05）。채용Logistic회귀분석대상관적위험인소진행분석，포괄원발조내개화、림파결변계、림파결개화이급림파결낭변배사등4개방면，낭변배사화림파결개화여갑상선유두암경부림파결전이정정상관。결론：갑상선유두상류초성결과현시유림파결낭변배사이급림파결개화시예측시부출현경부림파전이적관건진단지표。
Objective:To investigate the correlation of papillary thyroid ultrasound features and cervical lymph node metastases. Methods:Patients with papillary thyroid tumors were selected from March 2013 to March 2014,a to-tal of 142 cases were treated with 160 nodules. Results:For lymph node ultrasound characteristics,cystic necrosis, calcification,lymph nodes and border there were significantly different between 2 groups(P<0. 05). Logistic regres-sion analysis results showed calcification within the primary tumor,lymph node boundary,calcified lymph nodes and cystic necrosis with cervical lymph node metastasis. Conclusion:For papillary thyroid tumors,lymph node cystic nec-rosis and calcification are risk factors of neck lymph node metastasis.