甲状腺癌诊断中超声检查相关影像学征象与患者淋巴结转移的关系

Relationships Between Utrasound-Related Imaging Signs and Lymph Node Metastasis in the Diagnosis of Patients with Thyroid Cancer

目的分析甲状腺癌患者超声检查相关征象与淋巴结转移的关系。方法选择2022年1月至2023年6月我院收治的甲状腺癌患者88例,根据手术病理结果分为转移组和未转移组,比较两组的超声影像学征象,分析甲状腺癌患者发生淋巴结转移的危险因素。结果转移组的肿瘤直径≥1.5cm、淋巴结内部钙化、血供分级>1级占比均显著高于未转移组(P<0.05)。Logistic回归分析结果显示,肿瘤直径、血供分级、淋巴结内部钙化均为甲状腺癌患者发生淋巴结转移的独立危险因素(OR>1,P<0.05)。结论超声影像学征象肿瘤直径、血供分级、淋巴结内部钙化可评估甲状腺癌患者的淋巴结转移风险。

Objective To analyze the relationships between ultrasound-related signs and lymph node metastasis in patients with thyroid cancer.Methods According to the results of surgical pathology,88 patients with thyroid cancer admitted to our hospital from January 2022 to June 2023 were selected and divided into the metastasis group and the non-metastasis group.The ultrasound imaging signs of the two groups were compared,and the risk factors for the occurrence of lymph node metastasis in patients with thyroid cancer were analyzed.Results The proportions of tumor diameter≥1.5 cm,internal calcification of lymph nodes and blood supply grade>1 in the metastasis group were significantly higher than those in the non-metastasis group(P<0.05).Logistic regression analysis results showed that tumor diameter,blood supply grade and internal calcification of lymph nodes were independent risk factors for the occurrence of lymph node metastasis in patients with thyroid cancer(OR>1,P<0.05).Conclusions Ultrasound imaging signs including tumor diameter,blood supply grade and internal calcification of lymph nodes can evaluate the risk of lymph node metastasis in patients with thyroid cancer.