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甲状腺乳头状癌右侧喉返神经深层淋巴结转移率及影响因素
引用本文:高建,张国烈.甲状腺乳头状癌右侧喉返神经深层淋巴结转移率及影响因素[J].现代临床医学,2021,47(1):3-5,12.
作者姓名:高建  张国烈
作者单位:莆田学院附属医院甲状腺外一科,福建莆田351100;莆田学院附属医院甲状腺外一科,福建莆田351100
基金项目:福建省中青年教师教育科研立项;莆田学院校内科研项目
摘    要:目的:探讨甲状腺乳头状癌(PTC)右侧喉返神经深层淋巴结(Ⅵb区)转移率及其影响因素.方法:收集我院2017年7月至2019年6月136例PTC患者的临床资料,分析Ⅵb区转移率及影响因素.结果:136例中,浅层淋巴结(Ⅵa区)转移96例(70.59%),Ⅵb区转移31例(22.79%).清扫方式、病灶直径、Ⅵa区淋巴结...

关 键 词:甲状腺乳头状癌  右侧喉返神经  深层淋巴结  淋巴结清扫

Rate of deep lymph node metastasis and its influencing factors of right recurrent laryngeal nerve in papillary thyroid carcinoma
Gao Jian,Zhang Guolie.Rate of deep lymph node metastasis and its influencing factors of right recurrent laryngeal nerve in papillary thyroid carcinoma[J].Journal of Modern Clinical Medicine,2021,47(1):3-5,12.
Authors:Gao Jian  Zhang Guolie
Affiliation:(Department of Thyroid Surgery,Affiliated Hospital of Putian University,Putian,Fujian 351100,China)
Abstract:Objective:To investigate the rate of deep lymph node metastasis of right recurrent laryngeal nerve in papillary thyroid carcinoma(PTC)and its influencing factors.Methods:The clinical data of 136 cases of PTC from June 2017 to July 2019 in our hospital were retrospectively collected.The rate of deep lymph node metastasis of right recurrent laryngeal nerve and its influencing factors were analyzed.Results:Among the 136 cases,96 cases(70.59%)had superficial lymph node metastasis and 31 cases(22.79%)had deep lymph node metastasis.Deep lymph node metastasis of right recurrent laryngeal nerve in PTC patients was associated with lymph node dissection mode,lesion diameter,superficial lymph node metastasis and invasion of dorsal membrane(P<0.05 or P<0.01).Conclusion:Complete and thorough central lymph node dissection should be performed in patients with right or bilateral PTC,including the posterior lymph node of right recurrent laryngeal nerve.
Keywords:papillary thyroid carcinoma  right recurrent laryngeal nerve  deep lymph node  lymph node dissection
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