甲状腺癌超声特征与颈部淋巴结转移的相关性研究.docVIP

甲状腺癌超声特征与颈部淋巴结转移的相关性研究 　　[摘要] 目的 探讨甲状腺癌（TC）超声特征与颈部淋巴结转移的相关性。 方法 选取2011年1月～2015年12月在我院就诊的TC患者40例，根据是否伴颈部淋巴结转移分为转移组（16例）和非转移组（24例）。总结两组结节术前超声特征，并分析其与颈部淋巴结转移的相关性。 结果 单因素分析显示，肿瘤大小、纵横比（A/T）、结节钙化、血流分级和囊变坏死是影响颈部淋巴结转移的主要相关因素（P0.05）；Logistic回归分析显示，结节内钙化、血流分级和囊变坏死是颈部淋巴结转移的独立危险因素（P0.05）。 结论 TC超声特征中结节钙化、血流分级和囊变坏死可作为判断是否发生颈部淋巴结转移的关键指标。 　　[关键词] 超声检查；甲状腺癌；颈部淋巴结转移；相关性 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1674-4721（2016）04（c）-0073-03 　　Correlation research on ultrasound features of thyroid cancer and cervical lymph node metastasis 　　HUANG Dong-dong 　　Department of Ultrasound，Shangrao Railway Hospital，Jiangxi Province，Shangrao 334000，China 　　[Abstract] Objective To discuss the correlation between ultrasound features of thyroid cancer （TC） and cervical lymph node metastasis. Methods 40 TC patients treated in our hospital from January 2011 to December 2015 were selected and divided into the metastasis group （n=16，patients with cervical lymph node metastasis） and the non-metastasis group （n=24，patients without cervical lymph node metastasis）.The preoperative ultrasound features of both groups were summarized and the correlation with cervical lymph node metastasis was analyzed. Results According to the result of single factor analysis，size of tumor，A/T，nodular calcification，blood flow grade，and cystic lesion necrosis were major correlative factors of cervical lymph node metastasis （P0.05）.According to the result of logistic regression analysis，nodular calcification，blood flow grade，and cystic lesion necrosis were independent risk factor of cervical lymph node metastasis （P0.05）. Conclusion Ultrasound features such as nodular calcification，blood flow grade，and cystic lesion necrosis can be considered as key indicators of cervical lymph node metastasis in TC. 　　[Key words] Ultrasound examination；Thyroid cancer；Cervical lymph node metastasis；Correlation 　　甲状腺癌（thyroid carcinoma，TC）是以甲状腺内出现质地硬而坚固、表面不平的肿块为主要临床表现的分泌系统恶性肿瘤之一，发病原因复杂，多由各种病因共同作用所致[1-2]。流行病学调查显示，TC的发病率在近年来不断上升，成为临床治疗和研究的热