Clinical Research Of The Regulation And Risk Factors Of Cervical Lymph Node Metastasis

Objective: This study explores the thyroid papillary carcinoma was preliminary Mingtransfer rule and its related factors. Preliminary clear the regulation of Cervical Lymphnode Metastasis of PTC patients who was positive. Explore the related factors influencewas transferred. provide a preliminary theoretical basis and Clinical evidence ofevidence-based medicine for Reasonable treatment of thyroid papillary carcinoma wastransferred. Methods: From January2009to December2012,150patients with thyroiddisease, who underwent surgery in First Affiliated Hospital of Xinjiang MedicalUniversity were enrolled in the study(Recurrence cases of surgery are not include).Gain40specimens of neck lymph dissection metastatic cervical lymph nodes are go onrecord according to the partition,analyse distribution rule of the central and lateralcervical lymph nodes, and take multiple factors analysis of the age of150cases, gender,history length, o tumor size, merger of benign lesions or not, surrounding tissueinfiltration or not.. Decide whether it is a transfer factor analysis.Besides, analyze transferrelated factors analysis of Ⅵ area, provide a preliminary theoretical basis for Reasonabletreatment of thyroid papillary carcinoma was transferred.Results: In150cases,metastatic lymph node ratio is57.89%,, neck lymph node metastasis in central region isthe most common situation(47.37%). followed by Ⅱand Ⅲ area. The main influencefactors of neck lymph node metastasis is age gender, history length, tumor size and lesiontypes. Women’s lymph node metastasis is much higher than male.,both have significantdifference. Conclusion: In thyroid papillary carcinoma was transferred，The lymph nodemetastasis rate of Ⅱ、Ⅲ、Ⅵ area are higher than others.The patients whose lateral necklymph node are positive,the above several areas should be clean at least.Ⅵ area should becleaned routinely. Age、gender and lesion types are the independent influence factors forcervical lymph node metastasis of Ⅵ area. Tumor patients with thyroid papillarycarcinoma is>1.0cm in diameter, or breakthrough coated, or multiple lesions,or age greater than or equal to46, or female,or its clinical history in two years or more, theirtransfer rate analysis are more higer than the others. Difference was statisticallysignificant...