| 常淑娟,杨锦茹,袁娜,阮骊韬.甲状腺乳头状癌声像图表现与其颈部淋巴结转移的关系[J].中国医学影像技术,2019,35(5):673~676 |
| 甲状腺乳头状癌声像图表现与其颈部淋巴结转移的关系 |
| Relationship of ultrasonographic features and cervical lymph node metastasis of papillary thyroid carcinoma |
| 投稿时间：2018-08-30 修订日期：2019-03-05 |
| DOI：10.13929/j.1003-3289.201808194 |
| 中文关键词: 甲状腺肿瘤 超声检查 肿瘤转移 颈 淋巴结 |
| 英文关键词:thyroid neoplasms ultrasonography neoplasm metastasis neck lymph nodes |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨甲状腺乳头状癌（PTC）声像图表现与其颈部淋巴结转移的关系。方法 收集145例PTC患者的声像图资料，其中60例颈部淋巴结转移，85例无颈部淋巴结转移，回顾性分析患者年龄、性别及声像图表现（病灶数、最大径、边缘、纵横比、是否侵犯包膜、内部回声、微钙化、内部血供），并采用Logistic回归分析获得PTC颈部淋巴结转移的独立危险因素。结果 单因素分析显示，PTC颈部淋巴结转移与未转移患者间年龄、肿瘤最大径、侵犯包膜、内部血供差异均有统计学意义（P均<0.01）。Logistic回归分析结果显示，患者年龄≤50岁、肿瘤内部中高血供及侵犯包膜是PTC颈部淋巴结转移的独立危险因素（P均<0.05）。结论 患者年龄及肿瘤是否侵犯包膜、内部血供情况与PTC发生颈部淋巴结转移有关。 |
| 英文摘要: |
| Objective To investigate the relationship of ultrasonographic findings and cervical lymph node metastasis of papillary thyroid carcinoma (PTC). Methods Clinical and ultrasonographic data of 145 PTC patients were collected, including 60 cases with and 85 cases without cervical lymph node metastasis. The general data (age, sex) and ultrasonographic features (number of lesions, maximum diameter, margin, aspect ratio, invasion of capsule, internal echo, microcalcification, internal blood supply) were retrospectively analyzed. Logistic regression analysis was used to identify independent risk factors for cervical lymph node metastasis in PTC patients. Results Univariate analysis showed that there were significant differences in age, maximum diameter of tumors, capsular invasion and internal blood supply between PTC patients with cervical lymph node metastasis and those without metastasis (all P<0.01). Logistic regression analysis showed that age ≤ 50 years old, abundant internal blood supply and invasion of thyroid capsule were independent risk factors for PTC cervical lymph node metastasis (all P<0.05). Conclusion Patient's age, capsular invasion and internal blood supply of lesions are associated with cervical lymph node metastasis of PTC. |
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