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目的:研究中央区淋巴结清扫在c N0甲状腺乳头状癌治疗中的意义。方法:回顾性分析2010年1月-2014年6月间收治的83例c N0甲状腺乳头状癌患者的临床资料,对中央区淋巴结转移的单因素和转移率进行统计分析。结果:83例c N0甲状腺乳头状癌患者的中央区淋巴结转移率为48.2%,中央区淋巴结转移与患者性别、年龄、肿瘤多灶性、肿瘤大小及是否侵犯甲状腺包膜有关(P<0.05)。结论:c N0甲状腺乳头状癌患者的中央区淋巴结转移率较高,中央区淋巴结清扫术在减少肿瘤复发、改善存活率、降低颈侧区淋巴结转移率、肿瘤准确临床分期、制定术后综合治疗方案和判断。
Objective: To investigate the significance of central lymph node dissection in c N0 papillary thyroid carcinoma. Methods: The clinical data of 83 patients with cN0 papillary thyroid carcinoma admitted from January 2010 to June 2014 were retrospectively analyzed. The single factor and metastasis rate of lymph node metastasis in the central area were statistically analyzed. Results: The central lymph node metastasis rate was 48.2% in 83 patients with cN0 thyroid papillary carcinoma. The central lymph node metastasis was related to the gender, age, tumor multifocality, tumor size and invasion of the thyroid capsule (P <0.05) . Conclusions: Central nodal lymph node metastasis is higher in PTC patients with PTC. Central lymph node dissection can reduce tumor recurrence, improve survival rate, lower cervical lymph node metastasis rate, accurate clinical stage of the tumor, Programs and judgments.