右侧喉返神经深层淋巴结清扫在甲状腺乳头状癌合并甲亢患者术中应用的临床分析

doi:10.3969/j.issn.1006-6233.2023.08.024

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Abstract Objective: To analyze the clinical value of right recurrent laryngeal nerve deep lymph node dissection (LN-prRLN) in patients with papillary thyroid carcinoma (PTC) complicated with hyperthyroidism. Methods: From March 2019 to March 2021, 115 patients with right or bilateral PTC complicated with hyperthyroidism in our hospital were selected. All patients underwent total thyroidectomy, central lymph node dissection, and LN-prRLN dissection. The lymph node metastasis of patients was analyzed, and the clinical data of patients with LN-prRLN metastasis and those without LN-prRLN metastasis were compared. Logistic regression analysis was used to summarize the influencing factors of LN-prRLN metastasis. Results: The total metastasis rates of clinical lymph node negative patients in sub-region ⅳ a+cervical region, sub-region ⅳ b+cervical region and right cervical lymph nodes were lower than those in clinical lymph node positive patients, with statistical significance (P<0.05). The total metastatic rate of LN-prRLN in 15 patients was 26.96%(31/115). Logistic regression analysis showed that with LN-prRLN metastasis as the dependent variable, the influencing factors of tumor diameter ≥1cm, multiple lesions, invasion of extraglandular lobe, metastasis in subregion Ⅳa and right cervical lymph node metastasis were statistically significant (P<0.05). Conclusion: The LN-prRLN metastasis rate is high in PTC patients with hyperthyroidism. For patients with LN-prRLN metastasis risk factors, it is recommended to actively carry out LN-prRLN cleaning.

Key words： Recurrent laryngeal nerve Lymph node dissection Papillary carcinoma of thyroid Hyperthyroidism

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	Articles by authors
	YAO Ruinv
	LIU Xiaoju
	YE Li
	et al

Cite this article:

YAO Ruinv,LIU Xiaoju,YE Li, et al. Clinical Analysis of Deep Lymph Node Dissection of Right Recurrent Laryngeal Nerve in Patients with Papillary Thyroid Carcinoma Complicated with Hyperthyroidism[J]. HeBei Med, 2023, 29(8): 1353-1358.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2023.08.024 OR http://www.hbyxzzs.cn/EN/Y2023/V29/I8/1353

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