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目的探讨甲状腺炎合并甲状腺癌患者颈淋巴结转移的情况及相关因素,以明确淋巴结清扫术的指征。方法回顾性分析147例甲状腺炎合并甲状腺癌行甲状腺癌根治术同时行颈淋巴结清扫术患者的临床资料,对患者性别、年龄、肿瘤大小及病灶数与淋巴结转移的关系进行总结分析。结果 147例患者中有65例伴颈淋巴结转移,总转移率为44.22%。其中中央组淋巴结转移率为36.05%(53/147),明显高于侧颈淋巴结的20.41%(30/147),P<0.05。性别、肿瘤大小与淋巴结转移有关(P<0.05),而年龄和病灶数多少与淋巴结转移无关(P>0.05)。结论甲状腺炎合并甲状腺癌患者的颈中央组淋巴结有较高的转移率,故手术时常规行中央组淋巴结清扫术有一定意义。性别和肿瘤大小与颈淋巴结转移有关,对于男性、肿瘤较大患者,应考虑是否同时行同侧颈淋巴结清扫术。
Objective To investigate the status of cervical lymph node metastasis and related factors in patients with thyroiditis and thyroid cancer, so as to clarify the indications of lymph node dissection. Methods A retrospective analysis of 147 cases of thyroiditis with thyroid cancer underwent radical thyroidectomy combined with cervical lymph node dissection in patients with clinical data on the patient’s gender, age, tumor size and the number of lesions and lymph node metastasis were analyzed. Results Of the 147 patients, 65 cases were accompanied with cervical lymph node metastasis, the total metastasis rate was 44.22%. The central lymph node metastasis rate was 36.05% (53/147), which was significantly higher than that of the lateral cervical lymph nodes (20.41%, 30/147), P <0.05. Sex, tumor size and lymph node metastasis (P <0.05), but the number of age and lesion has nothing to do with lymph node metastasis (P> 0.05). Conclusion Thyroiditis with thyroid cancer in patients with central cervical lymph nodes have a higher rate of transfer, so the routine operation of the central group of lymph node dissection have some significance. Sex and tumor size and cervical lymph node metastasis, for men, patients with larger tumors, should consider whether ipsilateral neck lymph node dissection at the same time.