经口腔颏下前庭腔镜甲状腺切除术对甲状腺癌患者术后美容满意度及瘢痕自我关注度的影响  

Effects of Transoral Submental Vestibular Endoscopic Thyroidectomy on Aesthetic Satisfaction and Scar Self-attention in Patients with Thyroid Cancer after Surgery

作　　者：刘紫朦 邵波[1] 彭涛 LIU Zimeng;SHAO Bo;PENG Tao(Department of General Surgery,Jiujiang NO.1 People's Hospital,Jiujiang 332000,China;不详)

机构地区：[1]九江市第一人民医院普外科,江西九江332000

出　　处：《中国医学创新》2024年第36期85-88,共4页Medical Innovation of China

摘　　要：目的:探究经口腔颏下前庭腔镜甲状腺切除术对甲状腺癌患者术后美容满意度及瘢痕自我关注度的影响。方法:回顾性分析2021年8月—2023年8月于九江市第一人民医院行手术治疗的80例甲状腺癌患者的病历资料,根据手术入路方式不同,将患者分为观察组和对照组。观察组(n=40)行经口腔颏下前庭腔镜甲状腺切除术,对照组(n=40)行全乳晕入路腔镜甲状腺切除术(ETBAA)。对比两组手术相关指标、瘢痕自我关注度、美容满意度及预后。结果:两组术中出血量、中央区淋巴结清扫数、手术时间、住院时间及预后情况对比,差异均无统计学意义(P>0.05)。观察组术后3个月美容总满意度高于对照组,差异有统计学意义(P<0.05)。观察组术后3个月瘢痕自我关注度低于对照组,差异有统计学意义(P<0.05)。结论:ETBAA与经口腔颏下前庭腔镜甲状腺切除术治疗甲状腺癌的效果均较好,患者预后良好,但后者可有效提高患者的美容满意度,降低其瘢痕自我关注度。Objective:To explore the effects of transoral submental vestibular endoscopic thyroidectomy on aesthetic satisfaction and scar self-attention in patients with thyroid cancer after surgery.Method:The medical records of 80 patients with thyroid cancer who underwent surgical treatment in Jiujiang NO.1 People's Hospital from August 2021 to August 2023 were retrospectively analyzed. The patients were divided into observation group and control group according to different surgical approaches. The observation group (n=40) underwent transoral submental vestibular endoscopic thyroidectomy, and the control group (n=40) underwent endoscopic thyroidectomy via bilateral areola approach (ETBAA). Operation-related indexes, scar self-attention, aesthetic satisfaction and prognosis were compared between the two groups. Result: There were no significant differences in intraoperative blood loss, the number of central lymph nodes dissection, operation time, hospital stay and prognosis between the two groups (P>0.05). The aesthetic satisfaction 3 months after surgery in observation group was higher than that in control group, the difference was statistically significant (P<0.05). Scar self-attention 3 months after surgery in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion: Both ETBAA and transoral submental vestibular endoscopic thyroidectomy have good efficacy in the treatment of thyroid cancer, and the prognosis of patients is good, but the latter can effectively improve patients' aesthetic satisfaction and reduce their scar self-attention.

关 键 词：甲状腺癌 经口腔颏下前庭腔镜甲状腺切除术 美容满意度 瘢痕自我关注度 

分 类 号：R736.1[医药卫生—肿瘤]