论文部分内容阅读
目的探讨腔镜手术治疗甲状腺微小乳头状癌(papillary throid microcarcinoma,PTMC)临床疗效和中央区淋巴结转移的高危因素。方法对80例经腔镜手术治疗的PTMC临床资料进行回顾性分析,并采用SPSS统计软件分析中央区淋巴结转移的高危因素。结果术后有1例出血现象,无饮水呛咳、皮下气肿、甲状旁腺功能永久低下等并发症出现,影像学检查发现无残留腺体存在,并且局部无复发迹象,恢复状况良好;Logistic回归分析发现,年龄、性别、肿瘤直径、包膜外侵、肿瘤分布位置是引起中央淋巴结转移的危险因素,似然以(odd ratio,OR)=2.186、1.357、2.608、1.792、1.531(P<0.05或0.01)。结论 PTMC采用腔镜手术治疗临床效果显著。
Objective To investigate the clinical efficacy of endoscopic surgery in the treatment of papillary thyroid microcarcinoma (PTMC) and the risk factors of lymph node metastasis in central region. Methods The clinical data of 80 cases of PTMC treated by endoscopic surgery were analyzed retrospectively. SPSS software was used to analyze the risk factors of lymph node metastasis in the central area. Results There was one case of hemorrhage after operation. No complication of water cough, subcutaneous emphysema and permanent parathyroid function occurred. There was no residual gland in the imaging examination and there was no local recurrence. The Logistic regression Regression analysis showed that odds ratio (OR) = 2.186,1.357,2.608,1.792,1.531 (P <0.01), and age, sex, tumor diameter, invasion and distribution of tumor were the risk factors of central lymph node metastasis, 0.05 or 0.01). Conclusions The clinical effect of PTMC using endoscopic surgery is remarkable.