| 谢芳,王坤,马强,等.侧颈低领切口入路在甲状腺手术中的应用[J].安徽医药,2024,28(5):925-928. |
| 侧颈低领切口入路在甲状腺手术中的应用 |
| Application of low neck lateral incision approach in thyroid surgery |
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| DOI：10.3969/j.issn.1009-6469.2024.05.016 |
| 中文关键词: 甲状腺切除术 最小侵入性外科手术 侧入路 嗓音障碍 美容效果 |
| 英文关键词: Thyroidectomy Minimally invasive surgical procedures Lateral approach Voice handicap Beauty effect |
| 基金项目:宿州市科技计划项目( SZSKJJZC022) |
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| 中文摘要: |
| 目的探讨侧颈低领切口入路在甲状腺手术中应用的可行性和优点。方法选取 2021年 1月至 2022年 1月宿州市立医院甲状腺肿瘤病人 80例，依据手术治疗方式不同分为观察组与对照组，各 40例。观察组行侧颈区低领切口入路甲状腺切除术，对照组行传统颈前低领切口中间入路甲状腺切除术。比较两组各临床指标、术后并发症、嗓音和美容满意度的差异。结果两组病人年龄、性别、病理类型及手术方式等一般资料对比差异无统计学意义( P>0.05)。观察组在手术时间、手术出血量、术后拔管时间及术后第 3天血清钙值与对照组相比差异无统计学意义( P>0.05)观察组术后疼痛 VAS评分［(3.82±0.43)分比(5.55±0.50)分］及围手术期总手术并发症的发生率( 7.5%比 30.0%)低于对照组，差异，有统计学意义( P<0.05)，观察组术后嗓音满意度及美容满意度优于对照组，差异有统计学意义( P<0.05)。结论在甲状腺手术中经侧颈低领切口入路，可以减缓术后颈前不适感，手术并发症发生率低，手术切口隐蔽，病人术后嗓音满意度及美容满意度高，可行性好，值得临床推广。 |
| 英文摘要: |
| Objective To investigate the feasibility and advantages of lateral neck low collar incision approach in thyroid surgery. Methods Forty patients with thyroid tumors in Suzhou Municipal Hospital from January 2021 to January 2022 were selected and as-signed into observation group and control group according to different surgical treatment methods, with 40 cases in each group. The ob-servation underwent thyroidectomy through low neck incision approach in lateral cervical region, and the control group underwent thy-roidectomy through middle approach through traditional low neck incision. The differences in clinical indicators, postoperative compli-cations, voice and cosmetic satisfaction between the two groups were compared.Results There were no significant differences in age, gender, pathological types and surgical methods between the two groups (P>0.05). There were no significant differences between the ob-servation group and the control group in operation time, operative blood loss, postoperative mean extubation time and serum calcium atthe 3rd postoperative day (P>0.05). The postoperative pain VAS value [(3.82±0.43)points vs. (5.55±0.50)points] and the incidence of perioperative complications (7.5% vs. 30.0%) in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). The voice satisfaction and beauty satisfaction of the observation group were significantly betterthan those of the control group, and the differences were statistically significant (P<0.05).Conclusion In thyroidectomy, the lateral low neck incision approach can alleviate the postoperative pre-neck discomfort, reduce the incidence of surgical complications, hidethe surgical incision, and improve the postoperative voice satisfaction and aesthetic satisfaction of patients, which is feasible and worthyof clinical promotion. |
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