[1]王洪华,杨国宝,于 洋,等. 经乳晕入路腔镜下行甲状腺切除术对女性患者临床疗效及切口瘢痕满意度的研究[J].中国美容医学,2019,(11):22-25.
　WANG Hong-hua,YANG Guo-bao,YU Yang,et al. Study on Clinical Efficacy and Satisfaction of Incision Scar of Female ThyroidAdenoma Patients Treated with Endoscopic Thyroidectomy Breast Areola Approach[J].Medical Aesthetics and Beauty,2019,(11):22-25.
点击复制

 经乳晕入路腔镜下行甲状腺切除术对女性患者临床疗效及切口瘢痕满意度的研究
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年11期
页码:
22-25
栏目:
出版日期:
2019-11-05

文章信息/Info

Title:
 Study on Clinical Efficacy and Satisfaction of Incision Scar of Female Thyroid
Adenoma Patients Treated with Endoscopic Thyroidectomy Breast Areola Approach
文章编号:
1008-6455（2019）11-0022-03
作者:
 王洪华; 杨国宝; 于 洋; 张 冀
Author(s):
 WANG Hong-hua; YANG Guo-bao; YU Yang; ZHANG Ji
关键词:
 ; [关键词]甲状腺腺瘤; 腔镜甲状腺切除术; 乳晕入路; 美容满意度; 瘢痕形成
Keywords:
 ; Key words: thyroid adenoma;  endoscopic thyroidectomy;  breast areola approach;  cosmetic satisfaction;  scar formation
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：研究经乳晕入路行腔镜甲状腺切除术对女性甲状腺腺瘤患者临床疗效及切口瘢痕满意度的影响。方法：选取笔者
医院2016年4月-2018年4月收治的180例甲状腺腺瘤患者纳入研究，以随机数表法分为观察组与对照组，每组90例。对照组实施
传统甲状腺切除手术治疗，观察组经乳晕入路实施腔镜甲状腺切除手术。对比两组围术期手术时间、出血量、拆线时间、住院
时间、住院费用及术后温哥华瘢痕量表(Vancouver scar scale，VSS)、患者与观察者瘢痕评估量表(Patient and observer scar
assessment scale，POSAS)、术后并发症发生情况。结果：观察组出血量、拆线时间、住院时间、住院费用显著少于对照组，差
异有统计学意义（P ＜0.05）；观察组手术时间显著长于对照组，差异有统计学意义（P ＜0.05）。观察组术后VSS、PSAS、OSAS
评分显著低于对照组，且观察组术后并发症总发生率4.44%显著低于对照组的14.44%，差异有统计学意义（P ＜0.05）。结论：经
乳晕入路行腔镜甲状腺切除手术可提高女性甲状腺腺瘤患者美容满意度，且术后并发症风险低，值得临床应用。

Abstract:
Abstract: Objective To study the effect of endoscopic thyroidectomy breast areola approach on clinical efficacy and
satisfaction of incision scar in female patients with thyroid adenoma. Methods 180 cases of thyroid adenoma patients admitted
to our hospital from April 2016 to April 2018 were included in the study subject, and were divided into the observation group
and the control group by random number table method, 90 cases in each group. Conventional thyroidectomy was performed in
the control group, and endoscopic thyroidectomy was performed in the observation group through the breast areola approach.
The perioperative operation time, blood loss, stitching removal time, hospitalization time, hospitalization cost, VSS and
POSAS, and the incidence of postoperative complications were compared between the two groups. Results The amount of
blood loss, stitching removal time, hospitalization time and hospitalization cost in the observation group were significantly less
than those in the control group, the difference were statistically significant(P ＜0.05). The operation time of the observation
group was significantly longer than that of the control group(P ＜0.05). The postoperative VSS, PSAS and OSAS scores in
the observation group were significantly lower than those in the control group(P ＜0.05). The total incidence of postoperative
complications in the observation group was 4.44%, significantly lower than that in the control group (14.44%, P ＜0.05).
Conclusion Endoscopic thyroidectomy breast areola approach can improve the cosmetic satisfaction of female patients with
thyroid adenoma, and the risk of postoperative complications is low, which is worthy of clinical application.

相似文献/References:

[1]. 埋线美容专栏[J].中国美容医学,2018,(01):0.
　[J].Medical Aesthetics and Beauty,2018,(11):0.
[2]杨 震. 应用透明质酸颏部填充联合A型肉毒毒素咬肌注射重塑面部下1/3轮廓的效果观察[J].中国美容医学,2018,(03):1.
　YANG Zhen. Effect of Hyaluronic Acid Chin Filling Combined with Botulinum Toxin Type A Masseter Muscle Injection to Reconstruct the Facial Contour of the Lower 1/3[J].Medical Aesthetics and Beauty,2018,(11):1.
[3]祝闽辉,张栋梁,叶祥柏,等. 皮肤软组织扩张术埋置注液期并发症危险因素研究[J].中国美容医学,2018,(03):4.
　ZHU Min-hui,ZHANG Dong-liang,YE Xiang-bo,et al. Risk Factors of Complications after Tissue Expasion[J].Medical Aesthetics and Beauty,2018,(11):4.
[4]刘申松,杨永成. 自体脂肪颗粒移植联合假体隆乳术在哺乳后乳腺萎缩整形术中的应用[J].中国美容医学,2018,(03):9.
　LIU Shen-song,YANG Yong-cheng. Application of Autologous Fat Granule Graft Combined with Prosthesis Combined Augmentation Mammoplasty in Breast Reconstruction of Breast Atrophy Patients after Breast-feeding[J].Medical Aesthetics and Beauty,2018,(11):9.
[5]韩 星,胡守舵,陈晓芳,等.自体脂肪颗粒移植促进手部年轻化的临床观察[J].中国美容医学,2018,(03):12.
　HAN Xing,HU Shou-duo,CHEN Xiao-fang,et al. The Effect of Autologous Fat Grafting in Hand Rejuvenation[J].Medical Aesthetics and Beauty,2018,(11):12.
[6]李胜旭,苏映军,杨 宽,等. 封闭负压引流技术在先天性并指分指植皮术中的应用[J].中国美容医学,2018,(03):15.
　LI Sheng-xu,SU Ying-jun,YANG Kuan,et al. Application of Vacuum Sealing Drainage for Skin Graft in Patients with Congenital Syndactyly of the Hand[J].Medical Aesthetics and Beauty,2018,(11):15.
[7]陈 波,路 会,马 力,等. 钝针皮下层扇形注射透明质酸矫正面颊部凹陷[J].中国美容医学,2018,(03):18.
　CHEN Bo,LU Hui,MA Li,et al. Correction of Cheek Depression by Fanshaped Hyaluronic Acid Injection in Subcutaneous Layers with Blunt Needle[J].Medical Aesthetics and Beauty,2018,(11):18.
[8]曾德斌,栗鹏程,邱勋永,等. 不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,(03):21.
　ZENG De-bin,LI Peng-cheng,QIU Xun-yong,et al. Comparison on the Repair Effect of Different Ultrathin Free Perforator Flaps in the Treatment of Patients with Soft Tissue Defect of Hand[J].Medical Aesthetics and Beauty,2018,(11):21.
[9]程 定,崔树英,郑 乐,等. 改道引流联合VSD技术修复会阴部撕裂伤的临床研究[J].中国美容医学,2018,(03):24.
　CHENG Ding,CUI Shu-ying,ZHENG Le,et al. Clinical Study on Diverted Drainage Combined with Vacuum Sealing Drainage Technique to Repair the Laceration of the Perineum[J].Medical Aesthetics and Beauty,2018,(11):24.
[10]李云峰,吴泽勇,黄海华,等. 全厚皮片游离移植矫治儿童足背瘢痕挛缩畸形[J].中国美容医学,2018,(03):27.
　LI Yun-feng,WU Ze-yong,HUANG Hai-hua,et al. Full-thickness Skin Graft for the Treatment of Cicatricial Contracture of the Dorsum of Foot in Children[J].Medical Aesthetics and Beauty,2018,(11):27.

更新日期/Last Update: 2019-12-09