【摘要】 目的探讨桥本甲状腺炎与乳头状甲状腺癌淋巴结转移的相关性。方法对我院2010年6月~2013年6月收治的经筛选符合要求的乳头状甲状腺癌患者250例临床资料进行回顾性分析,按照患者是否合并桥本甲状腺炎分为对照组(单纯乳头状甲状腺癌)、观察组(合并桥本甲状腺炎组),比较两组患者临床病理特征和患者颈部淋巴结转移情况。结果观察组女性患者显著高于对照组(P<0.05),中央淋巴结清扫数量也显著高于对照组(P<0.05),两组患者中央以及颈侧淋巴结转移无显著性差异(P>0.05),多元回顾性分析结果显示,合并桥本甲状腺炎与否与患者是否存在乳头状甲状腺癌颈淋巴结转移无显著相关性(P>0.05)。结论桥本甲状腺炎与乳头状甲状腺癌颈淋巴结转移无显著相关性,但需要综合考虑各种相关危险因素以给患者提供最合适的治疗方案。更多还原

【Abstract】 Objective To investigate Hashimoto’s thyroiditis and papillary thyroid cancer will be able to lymph node metastasis. Methods To retrospectively analyze 250 cases of papillary thyroid carcinoma patients by screening from June 2010 to June 2013 treatment to meet received. Patients were divided into two groups. Hashimoto’s thyroiditis( pure papillary thyroid carcinoma) in the observation group( group merge Hashimoto’s thyroiditis),two groups were compared in patients with progressive clinical and pathological features and lymph node metastasis. Results Observation group of female patients was significantly higher( P < 0. 05), the number of central lymph node dissection was significantly higher( P < 0. 05),two lateral neck lymph node metastasis in patients with central and no significant difference( P > 0. 05),retrospective multivariate analysis showed that the combined or not with Hashimoto’s thyroiditis in patients with papillary thyroid cancer when there is no lymph node metastasis was significantly correlated( P > 0. 05). Conclusion Hashimoto’s thyroiditis and papillary thyroid cancer lymph node metastasis was significantly correlated,but needs to consider all relevant risk factors in order to provide patients with the most appropriate treatment.更多还原