甲状腺乳头状癌预防性中央区清扫术的探讨  

Investigation of prophylactic central compartment dissection for papillary thyroid carcinoma

作　　者：周应强[1] 武帅[2] 武乃旺[2] 

机构地区：[1]山西医科大学研究生学院第二临床学院,山西太原030001 [2]山西省肿瘤医院头颈一科

出　　处：《中国现代医药杂志》2013年第2期43-45,共3页Modern Medicine Journal of China

摘　　要：目的分析甲状腺乳头状癌（PTC）颈部淋巴结转移的影响因素,探讨预防性中央区清扫术的适应证。方法收集我院1982~2002年间首次手术治疗的PTC患者的临床资料,运用卡方检验及Logistic回归分析PTC颈部淋巴结转移的影响因素。结果卡方检验显示肿瘤无包膜、侵出腺外、双侧癌、T3~4及男性对颈部淋巴结转移有显著意义（P〈0.05）;Lo-gistic回归分析显示肿瘤无包膜、双侧癌及男性对颈部淋巴结转移有显著意义（P〈0.05）。结论对高危因素（肿瘤无包膜、双侧癌及男性）的颈淋巴结阴性（cN0）患者可行预防性中央区清扫。Objective To analyze the impact factors of cervical lymph node metastasis of papillary thyroid carcinoma,explore the indications of the central compartment dissection.Methods Collected clinical data of the surgical treatment of papillary thyroid carcinoma in our hospital from 1982-2002,the impact factored of cervical lymph node metastasis were analyzed by the chi-square test and Logistic regression.Results Chi-square test showed when the tumor no capsulated and extrusive extraglandular,bilateral cancer,T3-4,male,the lymph node metastasis were significantly increased（P〈0.05）.Logistic showed when the tumor no capsulated,bilateral cancer,male,the lymph node metastasis were significantly increased（P〈0.05）.Conclusion cN0 patients with risk factors（tumor capsule,bilateral cancer and male） deserve prophylactic central compartment dissection.

关 键 词：甲状腺乳头状癌 淋巴结转移 中央区清扫术 

分 类 号：R736.1[医药卫生—肿瘤]