甲状腺微小乳头状癌右侧喉返神经后组淋巴结转移模式及预测因素  

Metastatic Pattern and Predictive Factors of Right Recurrent Laryngeal Nerve Posterior Lymph Nodes in Papillary Thyroid Microcarcinoma

作　　者：朱顺生 陈顺金[2] 黄少卿 ZHU Shunsheng;CHEN Shunjin;HUANG Shaoqing(Department of Surgery,Shaxian District General Hospital,Sanming 365500,China;Department of Head and Neck Tumor Surgery,Fujian Cancer Hospital,Fuzhou 350000,China)

机构地区：[1]三明市沙县区总医院外科,三明365500 [2]福建省肿瘤医院头颈肿瘤外科,福州350000

出　　处：《中国医药指南》2024年第35期30-33,共4页Guide of China Medicine

摘　　要：目的本研究旨在评估甲状腺微小乳头状癌(PTMC)患者右侧喉返神经后组淋巴结转移(LN-prRLN)的危险因素。方法选取2021年6月至2022年6月在福建省肿瘤医院头颈外科接受首次手术的239例PTMC患者,分析其年龄、性别、肿瘤直径、多发灶、被膜侵犯及侧颈部淋巴结转移情况等危险因素。结果239例患者中,27例患者病理发现LN-prRLN转移。Logistic回归分析显示,被膜侵犯、LN-arRLN转移和侧颈淋巴结转移是LN-prRLN转移的危险因素(P<0.05)。结论被膜侵犯、LN-arRLN转移和侧颈淋巴结转移增加了LN-prRLN的发生率。对于有这些危险因素的患者,彻底清扫LN-prRLN可以降低甲状腺癌复发。Objective The aim of this study is to evaluate the risk factors for right recurrent laryngeal nerve posterior lymph node metastasis(LN-prRLN)in patients with papillary thyroid microcarcinoma(PTMC).Methods A total of 239 PTMC patients who underwent their first surgery in the Department of Head and Neck Surgery at Fujian Cancer Hospital from June 2021 to June 2022 were selected.The study analyzed risk factors such as age,gender,tumor diameter,multifocality,capsular invasion,and lateral cervical lymph node metastasis.Results Among the 239 patients,27 had pathological evidence of LN-prRLN metastasis.Logistic regression analysis showed that capsular invasion,LN-arRLN metastasis,and lateral cervical lymph node metastasis are risk factors for LN-prRLN metastasis(P<0.05).Conclusions Capsular invasion,LN-arRLN metastasis,and lateral cervical lymph node metastasis significantly increase the incidence of LN-prRLN.For patients with these risk factors,thorough dissection of LN-prRLN can reduce the recurrence of thyroid cancer.

关 键 词：甲状腺微小乳头状癌 右侧喉返神经后组淋巴结 甲状腺腺叶切除 复发 

分 类 号：R736.1[医药卫生—肿瘤]