术前淋巴结超声影像特征对甲状腺癌颈侧区淋巴结转移风险的预测.docx

术前淋巴结超声影像特征对甲状腺癌颈侧区淋巴结转移风险的预测

[关键词]甲状腺癌；颈侧区淋巴结转移；超声影像特征

[中图分类号]R736.1[文献标识码]A[DOI]10.3969/j.issn.1673-9701.2025.03.009

[Abstract]ObjectiveToexploretherelationshipbetweenpreoperativeultrasonographicfeaturesofcervicallymphnodesandlateralnecklymphnodemetastasisinthyroidcancerbyanalyzingthesecharacteristics.MethodsAtotalof296patientswiththyroidcancerwhovisitedtheSecondAffiliatedHospitalofAnhuiMedicalUniversityfromJanuary1，2018toAugust1，2024wereselected.Patientswithpathologicalpositiveresultsaftercervicallymphnodesurgerywereincludedinobservationgroup（260cases），whilepatientswithpathologicalnegativeresultswereincludedincontrolgroup（36cases）.Analyzetheultrasoundimagingcharacteristicsofsuspectedlymphnodesbeforesurgeryandexploretheinfluencingfactorsoflymphnodemetastasisinthecervicalregionofthyroidcancer.ResultsTheresultsofunivariateanalysisshowedthattherewasacorrelation（Plt;0.05）betweenthesizeandfrequencyofsuspiciouslymphnodes，abnormalboundariesbetweenthecortexandmedulla，presenceofmicrocalcifications，irregularshapes，andabnormalbloodflowsignalsandlateralcervicallymphnodemetastasis.MultivariateLogisticregressionanalysisshowedthatultrasoundfindingsofsuspiciouslymphnodemicrocalcifications，presenceofhyperechoicmasses，andpresenceofabnormalbloodflowsignalswereindependentriskfactorsforcervicallymphnodemetastasis（Plt;0.05）.ConclusionThepreoperativeultrasoundimagingfeaturesofcervicallymphnodesinthyroidcancerhaveagoodpredictiveeffectonwhetherlymphnodeshavemetastasized.

[Keywords]Thyroidcancer;Lateralcervicallymphnodemetastasis;Ultrasonographicfeatures

1资料与方法

1.1一般资料

纳入标准：①病理证实PTC；②颈侧区淋巴结术前超声提示异常；③行颈侧区淋巴结清扫术；④临床基本信息及相关病理数据完整。排除标准：①非PTC患者；②相关资料不完整；③合并其他肿瘤；④未行颈侧区淋巴结清扫术的患者。

1.2数据采集

收集患者的可疑淋巴结术前超声表现特征，包括术前颈部可疑淋巴结的大小、是否区域多发、皮髓质分界情况、形状是否规则、是否有微钙化、是否有高回声团、是否有血流信号等