机器人辅助甲状腺癌根治术的效果及对切口愈合的影响  

Effect of robot-assisted radical surgery for thyroid cancer and its impact on surgical incision hea

作　　者：罗茜 金鑫[2] 赵丽丽 张晨[4] 张敏 LUO Qian;JIN Xin;ZHAO Lili;ZHANG Chen;ZHANG Min(Department of Dermatology,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,China;Department of General Surgery,Ankang Central Hospital,Ankang 725000,China;Department of Dermatology,First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China;Department of General Surgery,First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China)

机构地区：[1]安康市中医医院皮肤科,陕西安康725000 [2]安康市中心医院普外科,陕西安康725000 [3]西安交通大学第一附属医院皮肤科,陕西西安710061 [4]西安交通大学第一附属医院普外科,陕西西安710061

出　　处：《机器人外科学杂志（中英文）》2024年第5期939-945,共7页Chinese Journal of Robotic Surgery

基　　金：陕西省自然科学基金项目(2019JM-SF-0054)。

摘　　要：目的:研究机器人辅助系统在甲状腺癌根治术的应用效果及对切口愈合的影响。方法:回顾性选取2022年1月—2023年1月于本院治疗的75例患者作为研究对象,依照基线资料可比性原则按治疗方式划分为观察组(43例,机器人辅助甲状腺癌根治术)和对照组(32例,开放甲状腺癌根治术)。比较两组患者的临床效果,包括住院时间、视觉模拟量表(VAS)评分、引流量、手术时间等;比较术后1个月患者切口愈合情况,主要包括美观情况(NSS评分)、瘢痕情况(OSAS评分);比较两组患者甲状腺功能和并发症情况。结果:观察组与对照组相比,手术时间、NSS评分、手术切口高于对照组,但是住院时间、VAS评分、OSAS评分、愈合时间低于对照组,差异有统计学意义(P<0.05)。观察组短暂性喉返神经损伤、短暂性声带麻痹发生率均为0,低于对照组,差异有统计学意义(P<0.05)。结论:机器人辅助甲状腺癌根治术与开放性手术有同等效果,可有效清除淋巴结,改善甲状腺功能,减少并发症发生。但是,机器人辅助甲状腺癌根治术手术时间更长,切口却愈合地更好,更具有美观性,更能降低疼痛。Objective:To study the effect of robot-assisted systems radical thyroidectomy and its effect on incision healing.Methods:75 patients treated in the hospital from January 2022 to January 2023 were retrospectively selected as the study objects and divided into the observation group(n=43 cases,robot-assisted radical thyroidectomy)and the control group(n=32,open radical thyroidectomy)according to the principle of baseline data comparability.The clinical effects of the two groups were compared,including length of hospital stay,visual analogue scale(VAS)score,drainage volume and operative time.Incision healing of patients 1 month after surgery was compared,mainly by aesthetic condition(NSS score)and scar condition(OSAS score).Thyroid function and complications were also compared between the two groups.Results:The observation group had higher surgical time,NSS score and surgical incision compared to the control group,but lower hospitalization time,VAS score,OSAS score and healing time with statistical significance(P<0.05).The incidence of transient recurrent laryngeal nerve injury and transient vocal cord paralysis in the observation group was 0, which was lower than that in the control group, and the difference was statistically significant (P<0.05).Conclusion: Robot-assisted radical surgery for thyroid cancer has the same effect as open surgery, which can effectively dissectlymph nodes, improve thyroid function and reduce complications. However, robot-assisted radical thyroid cancer surgery takeslonger, but the incision is better healed, more aesthetically pleasing, and less painful.

关 键 词：机器人手术系统 甲状腺癌根治术 切口愈合 

分 类 号：R736.1[医药卫生—肿瘤] R653[医药卫生—临床医学]