经口腔前庭入路行内镜甲状腺切除术的应用价值  

Application Value of Endoscopic Thyroidectomy Via Oral Vestibular Approach

作　　者：奚晓华 XI Xiaohua(Fuliang County People's Hospital,Jiangxi Province,Fuliang 333400,China)

机构地区：[1]江西省浮梁县人民医院,江西浮梁333400

出　　处：《中国医学创新》2023年第5期137-140,共4页Medical Innovation of China

摘　　要：目的:探讨经口腔前庭入路行内镜甲状腺切除术的价值。方法:选取2019年5月-2021年5月浮梁县人民医院收治的60例甲状腺手术患者,按照随机数字表法将患者分为观察组(n=30,实施经口腔前庭入路行内镜甲状腺切除术)与对照组(n=30,常规甲状腺切除术)。比较两组围手术期指标、术后恢复指标、疗效及并发症情况。结果:观察组手术时间较对照组长,住院时间、瘢痕长度均较对照组短,术中出血量、引流量均少于对照组,差异均有统计学意义(P<0.05)。观察组术后24 h的视觉模拟评分法(VAS)评分低于对照组,术后6个月美容评分高于对照组,开始进食时间、颈部活动时间均短于对照组,差异均有统计学意义(P<0.05)。观察组总有效率为93.3%,高于对照组的70.0%(P<0.05)。观察组并发症发生率为6.7%,低于对照组的26.7%(P<0.05)。结论:经口腔前庭入路行内镜甲状腺切除术创伤小、并发症少,有利于缓解疼痛、满足患者美观需求,疗效可靠,可在临床推广。Objective:To explore the application value of endoscopic thyroidectomy via oral vestibular approach.Method:A total of 60 patients with thyroid surgery admitted to Fuliang County People’s Hospital from May 2019 to May 2021 were selected,they were divided into observation group(n=30,endoscopic thyroidectomy via oral vestibular approach)and control group(n=30,routine thyroidectomy)according to random number table method.Perioperative indexes,postoperative recovery indexes,curative effect and complications were compared between the two groups.Result:The operation time of the observation group was longer than that of the control group,the length of hospital stay and scar length of the observation group were shorter than those of the control group,and the intraoperative blood loss and drainage volume of the observation group were less than those of the control group,the differences were statistically significant(P<0.05).Visual analogue scale(VAS)scores at 24 h after operation of the observation group was lower than that of the control group,beauty score at 6 months after operation of the observation group was higher than that of the control group,start time of feeding and neck movement time of the observation group were shorter than those of the control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group was 93.3%,which was higher than 70.0%of the control group(P<0.05).The complication rate of the observation group was 6.7%,which was lower than 26.7%of the control group(P<0.05).Conclusion:Endoscopic thyroidectomy via oral vestibular approach has less trauma and fewer complications,which is beneficial to relieve pain and meet the aesthetic needs of patients,the efficacy is reliable and can be promoted in clinical practice.

关 键 词：经口腔前庭入路 甲状腺切除术 视觉模拟评分法 

分 类 号：R653[医药卫生—外科学]