本文選題：甲狀腺微小乳頭狀癌 + 預(yù)防性頸中央?yún)^(qū)淋巴結(jié)清掃��； 參考：《新疆醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的探討影響甲狀腺微小乳頭狀癌頸中央?yún)^(qū)淋巴結(jié)轉(zhuǎn)移的相關(guān)影響因素,并指導(dǎo)臨床手術(shù)治療。方法:對(duì)新疆醫(yī)科大學(xué)第一附屬醫(yī)院血管甲狀腺外科2012年12月至2016年4月于我院首次診治的360例診斷為甲狀腺微小乳頭狀癌患者的臨床病理資料進(jìn)行LOGIST回顧性分析。結(jié)果:360例甲狀腺微小乳頭狀癌(papillary thyroid microcarcinoma,PTMC)患者中,共有103例(28.61%)有淋巴結(jié)轉(zhuǎn)移:其中78例(21.67%)僅有中央?yún)^(qū)淋巴結(jié)轉(zhuǎn)移,19例(5.28%)有中央?yún)^(qū)淋巴結(jié)+頸側(cè)區(qū)淋巴結(jié)轉(zhuǎn)移,6例(1.67%)僅有頸側(cè)區(qū)淋巴結(jié)轉(zhuǎn)移�；颊哳i中央?yún)^(qū)淋巴結(jié)轉(zhuǎn)移與性別、年齡、癌灶直徑明顯相關(guān)(P0.05)。結(jié)論:結(jié)合患者性別、年齡、癌灶直徑等因素,在手術(shù)醫(yī)師經(jīng)驗(yàn)豐富、技術(shù)純熟的前提下,建議為PTMC患者行預(yù)防性頸中央?yún)^(qū)淋巴結(jié)清掃(central lymph node dissection,CLND)。
[Abstract]:Objective to investigate the influencing factors of cervical lymph node metastasis in thyroid micropapillary carcinoma. Methods: the clinical and pathological data of 360 patients diagnosed as thyroid micropapillary carcinoma from December 2012 to April 2016 in the first affiliated Hospital of Xinjiang Medical University were retrospectively analyzed by LOGIST. Results among the 360 patients with (papillary thyroid microcarcinoma of thyroid micropapillary carcinoma, There were 103 cases (28.61%) with lymph node metastasis, of which 78 cases (21.67%) had only central lymph node metastasis, 19 cases (5.28%) had central lymph node metastasis, and 6 cases (1.67%) had cervical lateral lymph node metastasis. Lymph node metastasis in the central cervical region was significantly correlated with sex, age and tumor diameter (P0.05). Conclusion: combined with sex, age and diameter of cancer focus, it is suggested that (central lymph node dissectionCLND should be performed in patients with PTMCs on the premise that the surgeon is experienced and skillful.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R736.1

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