Analysis of risk factors for central compartment lymph node metastasis of papillary thyroid microcarcinoma / 中国现代普通外科进展

ABSTRACT

Objective:To analysis the risk factors for central compartment lymph node metastasis in patients with papillary thyroid microcarcinoma.Methods:The clinical data of 200 patients with PTMC were retrospectively analyzed,and the risk factors for central compartment lymph node metastasis were ananlyzed also.Results:200 patients with PTMC includes 70 cases for central lymph node metastasis with metastasis rate as 35％.Univariate logistic regression analysis showed that tumor size,clinical stage,with or without membrane invasionwere risk factorsfor central lymph node metastasis of papillary thyroid microcarcinoma(P＜0.05).Multivariate logistic regression analysis showed that tumor size,clinical stage,with or without membrane invasion were independent risk factors forcentral lymph node metastasis of papillary thyroid microcarcinoma (P＜0.05).Conclusion:Tumor size,clinical stage,with or without membrane invasion were independent risk factors for central lymph node metastasis of papillary thyroid microcarcinoma,and the central lymph node clearance could prolong the survival time of patients and improve the clinical prognosis when necessary.