本文選題：超聲檢查　切入點：甲狀腺乳頭狀癌　出處：《中國超聲醫(yī)學雜志》2015年03期

【摘要】：目的探討甲狀腺乳頭狀癌(PTC)頸部淋巴結(jié)轉(zhuǎn)移及轉(zhuǎn)移區(qū)域的相關(guān)因素。方法回顧性分析388例PTC患者的年齡、性別、PTC結(jié)節(jié)聲像圖特征。結(jié)果男性患者、PTC合并結(jié)節(jié)性甲狀腺腫、PTC結(jié)節(jié)最大徑1.0cm、邊緣不規(guī)則、接觸被膜及被膜不連續(xù)是PTC頸部淋巴結(jié)轉(zhuǎn)移的獨立危險因素(P0.05)。PTC結(jié)節(jié)多發(fā)、位于甲狀腺上部、最大徑≥3.0cm及被膜不連續(xù)是頸部淋巴結(jié)多區(qū)域轉(zhuǎn)移的危險因素(P0.05);PTC結(jié)節(jié)位于甲狀腺上部是頸部淋巴結(jié)跳躍性轉(zhuǎn)移的危險因素(P0.05)。結(jié)論患者的性別及PTC結(jié)節(jié)的聲像圖特征,對頸部淋巴結(jié)轉(zhuǎn)移及轉(zhuǎn)移區(qū)域具有一定的預(yù)測作用,可為臨床選擇合理的頸部淋巴結(jié)清掃手術(shù)方式提供參考依據(jù)。
[Abstract]:Objective to investigate the related factors of cervical lymph node metastasis and metastasis in papillary thyroid carcinoma (PTC).Methods the age and sex of 388 patients with PTC were analyzed retrospectively.Results the largest diameter of PTC nodules in male patients with nodular goiter was 1.0 cm, the margin was irregular, and the contact and discontinuity of the capsule were the independent risk factors of cervical lymph node metastasis of PTC. P0.05. PTC nodules were located in the upper part of thyroid gland.Maximum diameter 鈮，

本文編號：1728093