改良无充气经锁骨下入路腔镜手术治疗甲状腺乳头状癌的疗效观察  

Effect of modified non-inflatable subclavian endoscopic surgery in the treatment of papillary thyroid carcinoma

作　　者：王明军 薛源 乔楠 毛秋粉[1] 程维刚 Wang Mingjun;Xue Yuan;Qiao Nan;Mao Qiufen;Cheng Weigang(Department of Thyroid Head and Neck Tumors Surgery,School of Clinical Medicine,Henan University of Science and Technology,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471003,China)

机构地区：[1]河南科技大学临床医学院,河南科技大学第一附属医院甲状腺头颈肿瘤外科,洛阳471003

出　　处：《中国实用医刊》2024年第24期1-3,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨改良无充气经锁骨下入路腔镜手术治疗甲状腺乳头状癌(PTC)的疗效。方法回顾性抽取2020年5月至2023年6月河南科技大学第一附属医院收治的PTC患者106例, 依据术式分为研究组(40例, 予以改良无充气经锁骨下入路腔镜手术)和对照组(66例, 予以传统颈部切口手术)。比较两组围术期指标、术后并发症发生率、手术前后血清炎性指标及美容瘢痕量表评分。结果研究组手术时间长于对照组(P<0.05), 术中出血量、术后引流量、视觉模拟评分法评分低于对照组(P<0.05)。术前, 两组血清炎性指标比较差异未见统计学意义(P>0.05);术后, 研究组血清炎性指标低于对照组(P<0.05)。研究组术后美容瘢痕量表评分低于对照组(P<0.05)。术后, 两组总并发症发生率比较差异未见统计学意义(P>0.05)。结论改良无充气经锁骨下入路腔镜手术治疗PTC疗效较佳, 可减轻炎性反应, 不增加术后并发症发生率, 且美容效果较好。Objective To investigate the effect of modified non-inflatable subclavian endoscopic surgery in the treatment of papillary thyroid carcinoma(PTC).MethodsA total of 106 patients with PTC admitted to the First Affiliated Hospital of Henan University of Science and Technology from May 2020 to June 2023 were selected retrospectively,and they were divided into the study group(40 cases,treated by modified non-inflatable subclavian endoscopic surgery)and the control group(66 cases,treated by traditional neck approach incision surgery).The perioperative indexes,postoperative complication rate,preoperative and postoperative serum inflammatory indexes,and cosmetic trace scale scores were compared between the two groups.ResultsThe operation duration of the study group was longer than that of the control group(P<0.05),while the intraoperative blood loss,postoperative drainage volume and visual analogue scale score of the study group were lower than those of the control group(P<0.05).There was no statistically significant difference in preoperative serum inflammatory indexes between the two groups(P>0.05),and the postoperative serum inflammatory indexes in the study group were lower than those in the control group(P<0.05).The postoperative cosmetic trace scale score in the study group was lower than that in the control group(P<0.05).There was no significant difference in the total complication rate between the two groups after surgery(P>0.05).ConclusionsModified non-inflatable subclavian endoscopic surgery has better efficacy in the treatment of PTC,which can reduce inflammatory response,and do not increase the incidence of postoperative complications,with better cosmetic effects.

关 键 词：甲状腺乳头状癌 改良无充气经锁骨下入路腔镜手术 

分 类 号：R73[医药卫生—肿瘤]