甲状腺微小乳头状癌患者颈部淋巴结转移的危险因素及超声特征分析  

Analysis on the Risk Factors and Ultrasound Characteristics of Cervical Lymph Node Metastasis in Patients with Papillaryy Thyroid Microcarcinoma

作　　者：丛蓉 CONG Rong(Department of Ultrasound,Rudong County People's Hospital,Nantong 226400,China)

机构地区：[1]如东县人民医院超声科,江苏南通226400

出　　处：《临床医学工程》2025年第1期110-112,共3页Clinical Medicine & Engineering

摘　　要：目的分析甲状腺微小乳头状癌(PTMC)患者颈部淋巴结转移的危险因素及超声特征。方法160例PTMC患者根据是否发生颈部淋巴结转移分为颈部淋巴结转移组与非颈部淋巴结转移组,比较两组一般资料及超声征象,采用多因素Logistic回归分析探讨PTMC患者发生颈部淋巴结转移的危险因素。结果Logistic回归分析显示,男性、年龄<45岁、病灶最长径≥5 mm、被膜外浸润、多发病灶是PTMC患者发生颈部淋巴结转移的危险因素(P<0.05)。结论男性、年龄<45岁、病灶最长径≥5mm、被膜外浸润、多发病灶是PTMC患者发生颈部淋巴结转移的危险因素。Objective To analyze the risk factors and ultrasound characteristics of cervical lymph node metastasis in patients with papillary thyroid microcarcinoma(PTMC).Methods 160 patients with PTMC were divided into the cervical lymph node metastasis group and the non-cervical lymph node metastasis group based on whether cervical lymph node metastasis occurred.The general data and ultrasound characteristics were compared between the two groups,and multiple Logistic regression analysis was used to explore the risk factors for the occurrence of cervical lymph node metastasis in PTMC patients.Results Logistic regression analysis showed that male,age<45 years old,longest diameter of lesion≥5 mm,extracapsular infiltration,and multiple lesions were risk factors for the occurrence of cervical lymph node metastasis in PTMC patients(P<0.05).Conclusions Male,age<45 years old,longest diameter of lesion≥5 mm,extracapsular infiltration,and multiple lesions are risk factors for the occurrence of cervical lymph node metastasis in PTMC patients.

关 键 词：甲状腺微小乳头状癌 超声特征 淋巴结转移 危险因素 

分 类 号：R736.1[医药卫生—肿瘤]