超声特征预测甲状腺微小乳头状癌颈部淋巴转移的相关因素分析  

Analysis of Factors Related to Ultrasound Features in Predicting Cervical Lymphatic Metastasis in Thyroid Micropapillary Carcinoma

作　　者：余小情 傅晓红[1] 沈燕[1] 何洁[1] 胡姣姣 陈庆庆 吴宇 Yu Xiaoqing;Fu Xiaohong;Shen Yan;He Jie;Hu Jiaojiao;Chen Qingqing;Wu Yu(Department of Ultrasound,Gongli Hospital,Pudong New Area,Shanghai 200135,China;Department of Ultrasound,Hudong Hospital,Shanghai 200129,China)

机构地区：[1]上海市浦东新区公利医院超声科,上海市200135 [2]上海沪东医院超声科,上海市200129

出　　处：《中国超声医学杂志》2023年第11期1212-1215,共4页Chinese Journal of Ultrasound in Medicine

基　　金：上海市浦东新区卫生健康委面上项目(No.PW2022A-67)。

摘　　要：目的探讨超声特征预测甲状腺微小乳头状癌(PTMC)颈部淋巴转移的相关因素分析。方法回顾性分析267例PTMC患者超声图像特征,以手术病理结果为依据,将颈部淋巴结分为转移组与非转移组,采用单因素卡方检验及多因素Logistic回归分析,分析PTMC原发灶的超声特征,评价其预测颈部淋巴转移的价值。结果267例PTMC患者中,术后病理显示69例存在颈部淋巴转移,198例无颈部淋巴转移。单因素卡方检验显示,PTMC颈部淋巴转移组与无转移组比较,年龄、结节位置、结节数目、结节大小、纵横比、血供程度、与被膜接触的差异有统计学意义(P<0.05)。多因素回归分析显示患者年龄<55岁、结节多灶、纵横比(≥1)和与包膜接触是甲状腺微小乳头状癌颈部淋巴转移的危险因素(P<0.05)。结论术前超声征象中结节多灶、纵横比≥1、与包膜接触和患者年龄<55岁对预测PTMC颈部淋巴转移有一定的价值。Objective To explore the factors related to ultrasound features in predicting cervical lymphatic metastasis in papillary thyroid microcarcinoma(PTMC).Methods Ultrasound imaging features of 267 PTMC patients were retrospectively analyzed.According to pathological results,the patients were divided into lymph node metastasis and non-lymph node metastasis.Univariate chi-square test and multivariate logistic regression analysis were used to analyze the ultrasonic features of lymph node metastasis in PTMC and to evaluate theirs values in lymph node metastasis prediction.Results In 267 PTMC patients,69 with cervical lymph node metastasis,and 198 without lymph node metastasis.Univariate chi-square test showed that there were significant differences in age lymph nodes location,number of nodes,nodular size,aspect ratio,blood supply,and capsule contact between the groups with and without lymph nodules metastasis(P<0.05).Multivariate logistic regression analysis demonstrated that there were significant differences in age(<55 years old),numbers of node,aspect ratio(≥1),and capsule contact between the groups with and without lymph node metastasis(P<0.05).Conclusions The number of nodes,aspect ratio(≥1),capsule contact,and patient age(<55 years old)is useful in predicting cervical lymph node metastasis in PTMC.

关 键 词：超声特征 甲状腺微小乳头状癌 淋巴转移 

分 类 号：R445.1[医药卫生—影像医学与核医学] R736.1[医药卫生—诊断学]