经胸乳入路腔镜甲状腺手术与传统甲状腺手术对患者颈部功能及美容效果评分的对比分析  

Comparative analysis and effects of transthoracic breast endoscopy and traditional thyroid surgery on the patients of cervical function and cosmetic effect scores

作　　者：王彬[1] 周少波[1] 杨功安[1] 曹登义 张婷婷 Wang Bin;Zhou Shaobo;Yang Gong’an;Cao Dengyi;Zhang Tingting(Department of General Surgery,Second Affiliated Hospital of Bengbu Medical College,Bengbu 233000,China)

机构地区：[1]蚌埠医学院第二附属医院普外科,安徽蚌埠233000

出　　处：《海军医学杂志》2022年第4期385-388,共4页Journal of Navy Medicine

基　　金：安徽省自然科学基金项目(1808085QH266)。

摘　　要：目的探究经胸乳入路腔镜甲状腺手术与传统甲状腺手术治疗甲状腺肿瘤对患者颈部功能及美容效果评分的影响。方法选取2018年3月至2021年3月蚌埠医学院第二附属医院普外科行甲状腺手术的72例患者为研究对象,根据手术方式的不同分为对照组37例和研究组35例。对照组行传统甲状腺手术治疗,研究组行经胸乳入路腔镜手术治疗。观察2组手术指标、颈部功能、美容效果评分情况。结果2组患者在性别、年龄、肿瘤直径等一般资料上差异无统计学意义(P>0.05),具有可比性。研究组患者术中出血量、住院时间低于对照组,手术时间长于对照组,差异有统计学意义(P<0.05)。术后1周,2组颈部疼痛评分、颈部损伤指数评分、吞咽障碍指数评分差异无统计学意义(P>0.05)。术后3个月,2组颈部疼痛评分、颈部损伤指数评分、吞咽障碍指数评分均较术后1周下降,且研究组患者术后3个月颈部疼痛评分、颈部损伤指数评分、吞咽障碍指数评分均低于对照组,差异有统计学意义(P<0.05)。术后3个月,研究组患者瘢痕评分显著低于对照组,美容效果满意度评分高于对照组,差异有统计学意义(P<0.05)。结论相较于传统甲状腺手术,经胸乳入路腔镜手术治疗甲状腺肿瘤更有利于促进患者颈部功能恢复、改善术后瘢痕情况,同时提高美容效果。Objective To explore the effects of transthoracic breast endoscopy and traditional thyroid surgery on neck function and cosmetic scores in treatment of patients with thyroid tumors.Methods A total of 72 patients who underwent thyroid surgery in the General Surgery Department of the Second Affiliated Hospital of Bengbu Medical College from March 2018 to March 2021 were selected as research subjects and divided into the control group(37 cases)and the study group(35 cases)according to different surgical methods.The control group reeived traditional thyroid surgery,while the study group underwent transthoracic laparoscopic surgery.Surgical indicators(includng intraoperative blood loss,operation time,hospitalization time),neck function(neck pain,neck injury index,dysphagia index),cosmetic effect scores were observed between the patients of the 2 groups.Results There was no statistical significance in such clinical indexes as gender,age,tumor diameter,when comoparisons were made between the 2 groups(P>0.05).The amount of blood loss and length of hospital stay in the study group were significantly lower than those of the control group,while the length of surgical time was significantly higher than that of the control group,with statistical significance(P>0.05).One week after surgery,no significant differences could be seen in the neck pain scores,the neck injury index scores,and the dysphagia index scores,when comparisons were made between the 2 groups(P>0.05).3 months after surgery,neck pain scores,neck injury index scores,and dysphagia index scores significantly decrerased as compared with those 1 week after surgery,and 3 months after surgery,the neck pain scores,neck injury index scores,and dysphagia index scores of the study group were all significantly lower than those of the control group,also with statistical significance(P<0.05).3 months after surgery,the scar scores of the study group were significantly lower than those of the control group,and the satisfaction scores of cosmetic effect of the former were signi

关 键 词：甲状腺肿瘤 经胸乳入路腔镜手术 传统甲状腺手术 颈部功能 美容效果 

分 类 号：R59[医药卫生—内科学]