鼻咽癌患者Ⅰb区淋巴结肿大的影响因素

Influence Factors of Ⅰb Lymph Node Enlargement in Nasopharyngeal Carcinoma

目的探究鼻咽癌患者Ⅰb区淋巴结肿大的影响因素。方法回顾性分析460例鼻咽癌患者Ⅱ区淋巴结直径、下颌下腺侵犯、≥4个淋巴区转移、鼻腔侵犯、N分期以及颈动脉鞘区和口咽部位受到侵犯、T分期等与患者Ⅰb区淋巴结肿大的相关性。结果鼻咽癌患者Ⅱ区淋巴结直径、下颌下腺侵犯、≥4个淋巴区转移、鼻腔侵犯、N分期以及颈动脉鞘区和口咽部位受到侵犯,都对患者淋巴结转移产生影响,均具有显著相关性。结论鼻咽癌患者Ⅰb区淋巴结肿大与Ⅱ区淋巴结直径、下颌下腺侵犯、≥4个淋巴区转移、鼻腔侵犯、N分期以及颈动脉鞘区和口咽部位受到侵犯相关。

Objective To explore the influence factors of Ⅰb lymph node enlargement in nasopharyngeal carcinoma.Methods Retrospective analysis of correlation of Ⅰb lymph node enlargement in 460 patients with nasopharyngeal carcinoma and Ⅱ area diameter,submandibular gland under invasion,over 4 lymph node metastasis,nasal invasion,N stage,carotid sheath area and oropharyngeal violations,and T stage were conducted. Results Ⅱ area diameter,submandibular gland under invasion,over 4 lymph node metastasis,nasal invasion,N stage,carotid sheath area and oropharyngeal violations,and T stage had significant correlation with lymph node metastasis( P < 0. 05). Conclusion Ⅰb lymph node enlargement is related with Ⅱ area diameter,submandibular gland under invasion,over 4 lymph node metastasis,nasal invasion,N stage,carotid sheath area and oropharyngeal violations,and T stage.