首页|甲状腺乳头状癌患者颈部淋巴结转移的影响因素分析

甲状腺乳头状癌患者颈部淋巴结转移的影响因素分析

扫码查看
目的 探讨甲状腺乳头状癌(PTC)患者颈部淋巴结转移的影响因素.方法 选取80例PTC患者,所有患者均行常规超声、超声造影及超声弹性成像检查.根据病理结果将患者分为颈部淋巴结转移组(n=34)和颈部淋巴结未转移组(n=46).采用Logistic回归模型分析PTC患者颈部淋巴结转移的影响因素.结果 单因素分析结果显示,颈部淋巴结转移组与颈部淋巴结未转移组患者的性别、微钙化情况、超声造影增强程度、弹性模量平均值及弹性评分比较,差异均有统计学意义(P<0.05).多因素Logistic回归分析结果显示,男性、微钙化、超声造影呈高度增强、弹性评分较高均是PTC患者发生颈部淋巴结转移的危险因素(P<0.05).结论 男性、微钙化、超声造影呈高度增强、弹性评分较高均是PTC患者发生颈部淋巴结转移的危险因素,临床医师应及早识别上述因素并进行早期干预.
Analysis of influencing factors of cervical lymph node metastasis in patients with papillary thyroid carcinoma
Objective To explore the influencing factors of cervical lymph node metastasis in patients with papil-lary thyroid carcinoma(PTC).Method A total of 80 patients with PTC were selected,all of whom underwent rou-tine ultrasound,contrast-enhanced ultrasound and ultrasound elastography examinations.According to the pathological findings,the patients were divided into cervical lymph node metastasis group(n=34)and non-cervical lymph node me-tastasis group(n=46).Logistic regression model was used to analyze the influencing factors of cervical lymph node metastasis in PTC patients.Result Univariate analysis showed that there were statistically significant differences in gender,microcalcification,contrast-enhanced ultrasound enhancement degree,average elastic modulus and elastic score between cervical lymph node metastasis group and non-cervical lymph node metastasis group(P<0.05).Multi-variate Logistic regression analysis showed that male,microcalcification,height enhancement of contrast-enhanced ul-trasound,and high elasticity score were risk factors for cervical lymph node metastasis in PTC patients(P<0.05).Con-clusion Male,microcalcification,height enhancement of contrast-enhanced ultrasound,and high elasticity score are risk factors for cervical lymph node metastasis in PTC patients.Clinicians should identify these factors and intervene early.

papillary thyroid carcinomacervical lymph node metastasiscontrast-enhanced ultrasoundultrasound elastographyinfluencing factor

戴理平、郭艳、樊秋玲

展开 >

江西省中西医结合医院超声医学科,南昌 330003

甲状腺乳头状癌 颈部淋巴结转移 超声造影 超声弹性成像 影响因素

江西省卫生健康委科技计划项目

202311236

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(18)