Journal of Diagnostics Concepts & Practice ›› 2022, Vol. 21 ›› Issue (03): 343-348.doi: 10.16150/j.1671-2870.2022.03.009
• Original articles • Previous Articles Next Articles
XU Chenyinga, LI Yanrana, NI Xiaofengb, XU Shangyanb, LIN Qinga()
Received:
2022-05-19
Online:
2022-06-25
Published:
2022-08-17
Contact:
LIN Qing
E-mail:lq11035@rjh.com.cn
CLC Number:
XU Chenying, LI Yanran, NI Xiaofeng, XU Shangyan, LIN Qing. Efficacy of ultrasonic examination in predicting cervical lymph node metastasis in elderly patients with papillary thyroid carcinoma and analysis of related ultrasound signs[J]. Journal of Diagnostics Concepts & Practice, 2022, 21(03): 343-348.
临床特征 | 总数(n=232) | 颈部淋巴结转移[例(%)] | P值 | |
---|---|---|---|---|
有(n=71) | 无(n=161) | |||
年龄(岁) | 65.06±3.94 | 64.65±3.91 | 65.24±3.95 | 0.290 |
60~69 | 199(85.9%) | 62(87.3%) | 137(85.1%) | 0.654 |
≥70 | 33(14.2%) | 9(12.7%) | 24(14.9%) | |
性别 | 0.980 | |||
男 | 39(16.8%) | 12(16.9%) | 27(16.8%) | |
女 | 193(83.2%) | 59(83.1%) | 134(83.2%) | |
BMI(kg/m2) | 24.39±3.26 | 24.56±3.26 | 24.32±3.27 | 0.599 |
恶性肿瘤家族史 | 0.427 | |||
有 | 18(7.8%) | 7(9.9%) | 11(6.8%) | |
无 | 214(92.2%) | 64(90.1%) | 150(93.2%) | |
结节部位 | 0.052 | |||
单侧 | 173(74.6%) | 47(66.2%) | 126(78.3%) | |
多侧 | 59(25.4%) | 24(33.8%) | 35(21.7%) | |
结节个数 | 0.155 | |||
单个 | 162(70.3%) | 45(63.4%) | 117(72.7%) | |
多个 | 70(29.7%) | 26(36.6%) | 44(27.3%) | |
结节大小 (mm) | 10.01±6.92 | 13.40±8.74 | 8.52±5.33 | <0.001 |
<10 | 152(65.5%) | 30(42.3%) | 122(75.8%) | <0.001 |
≥10 | 80(34.5%) | 41(57.7%) | 39(24.2%) | |
结节方位 | 0.063 | |||
垂直 | 151(65.1%) | 40(56.3%) | 111(68.9%) | |
水平 | 81(34.9%) | 31(43.7%) | 50(31.1%) | |
结节内部结构 | 0.578 | |||
实性 | 223(96.1%) | 69(97.2%) | 154(95.7%) | |
非实性 | 9(3.9%) | 2(2.8%) | 7(4.3%) | |
结节内部回声 | 0.220 | |||
极低回声 | 13(5.6%) | 2(2.8%) | 11(6.8%) | |
非极低回声 | 219(94.4%) | 69(97.2%) | 150(93.2%) | |
结节边缘 | 0.281 | |||
不规则 | 197(84.9%) | 63(88.7%) | 134(83.2%) | |
规则 | 35(15.1%) | 8(11.3%) | 27(16.8%) | |
微钙化 | 0.022 | |||
有 | 141(60.8%) | 51(71.8%) | 90(55.9%) | |
无 | 91(39.2%) | 20(28.2%) | 71(44.1%) | |
慧星尾征 | 1.000 | |||
有 | 0(0) | 0(0) | 0(0) | |
无 | 232(100%) | 71(30.6%) | 161(69.4%) | |
CDFI血流 | 0.004 | |||
丰富 | 25(10.8%) | 14(19.7%) | 11(6.8%) | |
非丰富 | 207(89.2%) | 57(80.3%) | 150(93.2%) | |
紧贴包膜 | 0.004 | |||
有 | 111(47.8%) | 44(62.0%) | 67(41.6%) | |
无 | 121(52.2%) | 27(38.0%) | 94(58.4%) | |
C-TIRADS分类 | 0.089 | |||
3 | 1(0.4%) | 0(0) | 1(0.4%) | |
4A | 6(2.6%) | 3(4.2%) | 3(1.9%) | |
4B | 47(20.3%) | 8(11.3%) | 39(24.2%) | |
4C | 173(74.6%) | 59(83.1%) | 114(70.8%) | |
5 | 5(2.2%) | 1(1.4%) | 4(2.5%) |
自变量 | OR | 95%CI | P值 |
---|---|---|---|
性别 | 0.287~1.726 | 0.443 | |
女 | 1.00 | ||
男 | 0.704 | ||
年龄(岁) | 0.313~1.906 | 0.576 | |
60~69 | 1.00 | ||
≥70 | 0.773 | ||
结节部位 | 0.510~15.905 | 0.233 | |
单侧 | 1.00 | ||
多侧 | 2.847 | ||
结节个数 | 0.082~2.365 | 0.339 | |
单个 | 1.00 | ||
多个 | 0.441 | ||
结节大小(mm) | 1.933~8.666 | <0.001 | |
<10 | 1.00 | ||
≥10 | 4.093 | ||
方向 | 0.358~1.938 | 0.671 | |
水平 | 1.00 | ||
垂直 | 0.833 | ||
边缘 | 0.163~1.725 | 0.292 | |
规则 | 1.00 | ||
不规则 | 0.531 | ||
内部结构 | 0.162~7.114 | 0.942 | |
非实性 | 1.00 | ||
实性 | 1.073 | ||
内部回声 | 0.056~1.440 | 0.128 | |
非极低回声 | 1.00 | ||
极低回声 | 0.283 | ||
微钙化 | 0.366~1.969 | 0.703 | |
无 | 1.00 | ||
有 | 0.849 | ||
紧贴包膜 | 1.101~4.302 | 0.025 | |
无 | 1.00 | ||
有 | 2.177 | ||
CDFI血流信号 | 0.779~5.769 | 0.141 | |
非丰富 | 1.00 | ||
丰富 | 2.120 | ||
C-TIRADS分类 | 0.937~13.813 | 0.062 | |
3~4B | 1.00 | ||
4C~5 | 3.598 |
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