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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
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
作者姓名:郑绪才  王圣应  刘建军  洪士开
作者单位:安徽省肿瘤医院头颈乳腺外科,安徽 合肥,230031
基金项目:安徽省高校省级自然科学研究项目
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.

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
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.
Keywords:Thyroid papillary carcinoma  Neutrophil lymphocyte ratio  Lateral neck lymph node metastasis  Risk factor
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