经颏下前庭入路腔镜甲状腺手术治疗甲状腺乳头状癌的效果  

Effect of Endoscopic Thyroidectomy Via Submental Vestibular Approach for Papillary Thyroid Carcinoma

作　　者：李赞滨 应勇[1] 张彧 刘家锋[1] 谢洋[1] 杨俊杰 邓泽福 胡志强 LI Zanbin;YING Yong;ZHANG Yu;LIU Jiafeng;XIE Yang;YANG Junjie;DENG Zefu;HU Zhiqiang(The First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院,江西赣州341000

出　　处：《中国医学创新》2023年第13期70-73,共4页Medical Innovation of China

基　　金：2022年江西省卫健委课题(202210907)。

摘　　要：目的:探讨甲状腺乳头状癌(PTC)患者给予经颏下前庭入路腔镜甲状腺手术(ETS)治疗的效果。方法:选取2020年8月-2022年3月于赣南医学院第一附属医院收治的100例PTC患者,采用随机摸球法将其分成研究组(n=50)与对照组(n=50),对照组实施经口前庭入路腔镜甲状腺手术(TOETVA),研究组实施经颏下前庭入路ETS,比较两组患者的围手术期指标、术后恢复情况、并发症发生情况及生活质量。结果:研究组手术时间、住院时间均短于对照组,术中出血量少于对照组,淋巴结清扫数量多于对照组,差异均有统计学意义(P<0.05);研究组数字评分法(NRS)评分、下唇麻木发生率、并发症发生率均低于对照组,术后引流量少于对照组,差异均有统计学意义(P<0.05);两组术后6个月的世界卫生组织生活质量量表(WHOQOL-100)评分均高于出院时,研究组高于对照组,差异均有统计学意义(P<0.05)。结论:PTC患者给予经颏下前庭入路ETS治疗,能够改善围手术期指标,减轻术后疼痛,减少并发症发生,提高生活质量。Objective:To investigate the effect of endoscopic thyroid surgery(ETS)via submental vestibular approach in patients with papillary thyroid carcinoma(PTC).Method:A total of 100 patients with PTC admitted to the First Affiliated Hospital of Gannan Medical College from August 2020 to March 2022 were selected and divided into study group(n=50)and control group(n=50)by ball-touch method.The control group underwent transoral endoscopic thyroidectomy vestibular approach(TOETVA),and the study group underwent ETS via submental vestibular approach.The perioperative indicators,postoperative recovery,complications and quality of life of the two groups were compared.Result:The operation time and hospitalization time of the study group were shorter than those in the control group,the amount of intraoperative blood loss was less than that in the control group,and the number of lymph node dissection was more than that in the control group,with statistical significance(P<0.05).The numerical rating scale(NRS)score,the incidence of lower lip numbness and the incidence of complications in the study group were lower than those in the control group,and the postoperative drainage was lower than those in the control group,with statistical significance(P<0.05).The World Health Organization quality of life scale(WHOQOL-100)scores at 6 months after surgery in the two groups were higher than those at discharge,and the study group was higher than that in the control group,the difference were statistically significant(P<0.05).Conclusion:PTC patients treated with ETS via submental vestibular approach can improve perioperative indicators,relieve postoperative pain,reduce complications and improve quality of life.

关 键 词：甲状腺乳头状癌 经颏下前庭入路腔镜甲状腺手术 经口前庭入路腔镜甲状腺手术 

分 类 号：R736.1[医药卫生—肿瘤]