| Objective To investigate the clinical characteristics and influencing factors of central lymph node metastasis (CLNM) in the papillary thyroid carcinoma. Methods The 147 patients with papillarythyroid carcinoma diagnosed by cytology for the first time in Fuyang People's Hospital from February 2017 to June 2018 were collected, and the postoperative pathology confirmed papillary thyroid carcinoma. The patients were divided into lymphnode metastasis group (CLNM group, 45 cases) and non lymph node metastas group (nCLNM group, 107 cases) according to whether they had cervical lymph node metastasis. The general data of patients, thyroid function laboratory results and thyroid nodule ultrasound results were collected and compared. Results There were differences in gender, age, TSH, TPOAb, TGAb, thyroid nodule edge, microcalcification, aspect ratio and maximum meridian between the two groups(P<0.05), but there was no difference in FT3 and FT4, thyroid nodule texture, echo, solitary focus and TIRADS classification (P>0.05). Logistic regression analysis showed that age (OR=1.054,95%CI:1.006~1.103), gender (OR=6.499,95%CI:1.902~22.200), TSH (OR=1.904,95%CI:1.395~2.598), TGAb (OR=3.022,95%CI:1.005~9.084), edge (OR=11.483,95%CI:3.196~41.255), aspect ratio(OR=4.409,95%CI:1.508~12.890) and maximum diameter (OR=1.894,95%CI:1.250~2.869) were the influencing factors of CLNM in papillary thyroid carcinoma. Conclusion Age, gender, TSH, TGAb, thyroid nodule margin, aspect ratio and maximum diameter may be influencing factors for cervical central lymph node metastasis of papillary thyroid carcinoma. |
