中性粒细胞淋巴细胞比例在预测甲状腺乳头状癌 术后侧颈部淋巴结复发的价值 |
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引用本文: | 郑绪才,王圣应,刘建军,洪士开. 中性粒细胞淋巴细胞比例在预测甲状腺乳头状癌 术后侧颈部淋巴结复发的价值[J]. 河北医学, 2017, 23(9). DOI: 10.3969/j.issn.1006-6233.2017.09.009 |
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作者姓名: | 郑绪才 王圣应 刘建军 洪士开 |
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作者单位: | 安徽省肿瘤医院头颈乳腺外科,安徽 合肥,230031 |
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基金项目: | 安徽省高校省级自然科学研究项目 |
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摘 要: | 目的:探讨甲状腺乳头状癌(PTC)患者术前中性粒细胞淋巴细胞比例(NLR)与术后侧颈部淋巴结复发的关系.方法:回顾性的纳入我院2012年8月至2016年12月入住我科的P TC患者血常规标及术后复发情况.分析术前的NLR比例与术后侧颈部淋巴结转移的关系.结果:总共211例病人纳入此次分析,其中有50(23.7%)例患者术后出现侧颈部淋巴结的转移.术前外周血NLR高于2.6是P TC患者术后侧颈部淋巴结复发的独立危险因素.结论:高NLR是P TC术后侧颈部淋巴结转移的高危影响因素.NLR高于2.6的病人术后复诊过程中需要常规检查侧颈部淋巴结情况.
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关 键 词: | 甲状腺乳头状癌 中性粒细胞淋巴细胞比例 侧颈部淋巴结转移 风险因素 |
The Value of Neutrophil Lymphocyte Ratio in Predicting Recurrence of Postoperative Cervical Lymph Node Metastatic in Papillary Thyroid Carcinoma |
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Abstract: | Objective:To investigate the relationship between preoperative neutrophil lymphocyte ratio (NLR) and cervical lymph node recurrence in patients with thyroid papillary carcinoma (PTC). Method:PTC Patients from our hospital in January 2009 to December 2014 were retrospective analyzed. The relation-ship between those patients' serum routine markers and postoperative recurrence were analyzed by Cox analy-sis. Results:A total of 211 patients were included in the analysis, of which 50 (23.7%) patients had postop-erative cervical lymph node metastasis. Preoperative peripheral blood NLR higher than 2.6 is an independent risk factor for postoperative cervical lymph node recurrence in PTC patients. Conclusion: Higher NLR is a high risk factor for lymph node metastasis after PTC. NLR higher than 2.6 patients in the process of follow-up routine examination of cervical lymph nodes. |
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Keywords: | Thyroid papillary carcinoma Neutrophil lymphocyte ratio Lateral neck lymph node metastasis Risk factor |
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