[1] 廖雪英,齐 磊,曾兴玲,等. 经口腔前庭入路行腔镜下甲状腺癌根治术效果探讨[J].中国美容医学,2021,(10):41-44.
　 LIAO Xue-ying,QI Lei,ZENG Xing-ling,et al. Effect of Endoscopic Radical Thyroidectomy Via Oral Vestibular Approach[J].Medical Aesthetics and Beauty,2021,(10):41-44.
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 经口腔前庭入路行腔镜下甲状腺癌根治术效果探讨
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年10期
页码:
41-44
栏目:
出版日期:
2021-10-10

文章信息/Info

Title:
 Effect of Endoscopic Radical Thyroidectomy Via Oral Vestibular Approach
文章编号:
1008-6455（2021）10-0041-04
作者:
 廖雪英1; 齐 磊2; 曾兴玲1; 王 玲1; 刘 梅2; 林 兰1
Author(s):
 LIAO Xue-ying1; QI Lei2; ZENG Xing-ling1; WANG Ling1; LIU Mei2; LIN Lan1
关键词:
 [关键词]甲状腺癌根治术; 经口腔前庭入路; 腔镜术式; 切口美观度; 应激反应
Keywords:
 Key words: radical resection of thyroid cancer;  transoral vestibular approach;  endoscopic technique;  incision aesthetics;  stressresponse
分类号:
R736.1
文献标志码:
A
摘要:
[摘要]目的：探讨经口腔前庭入路行腔镜下甲状腺癌根治术对患者围手术期指标及切口满意度的影响。方法：回顾性分析
2018年1月-2019年12月收治的96例甲状腺癌患者临床资料，根据手术方法分为观察组（经口腔前庭入路腔镜下甲状腺癌根治
术，n =50）和对照组（开放性甲状腺癌根治术，n =46）。比较两组围术期指标，评估术前、术后1d时两组应激反应[C反应蛋
白（CRP）、血糖、皮质醇（Cor）]、评估术后1d、术后3d疼痛情况[视觉模拟评分表（Visual analogue scale，VAS）]，
随访记录两组并发症情况，评估两组切口满意度[主观满意度、温哥华瘢痕评定量表（Vancouver scar scale，VSS）]。结
果：观察组手术时间长于对照组，术中出血量、术后引流量、住院时间均小于对照组，差异有统计学意义（P ＜0.05）。两
组清扫淋巴结数量比较差异无统计学意义（P＞0.05）。术后1d时，两组CRP、血糖、Cor均高于术前，观察组CRP、Cor增幅小于
对照组，差异有统计学意义（P＜0.05）。手术前后血糖水平组间比较差异均无统计学意义（P＞0.05）。术后1d、3d，观察组VAS
评分均低于对照组，差异有统计学意义（P＜0.05）；两组术后3d VAS评分均低于术后1d，差异有统计学意义（P＜0.05）。两组
声音改变、下唇麻木、暂时性喉返神经损伤、切口感染征象及总并发症发生率比较差异无统计学意义（P ＞0.05）。术后3个
月，观察组切口主观满意度总优良率高于对照组，VSS评分低于对照组，差异有统计学意义（P ＜0.05）。结论：经口腔前庭
入路行腔镜下甲状腺癌根治术安全有效，有利于提高患者切口外观满意度。

Abstract:
Abstract: Objective To explore the effects of endoscopic radical resection of thyroid cancer via oral vestibular approach on
perioperative indicators and incision satisfaction of patients. Methods The clinical data of 96 patients with thyroid cancer
admitted between January 2018 and December 2019 were retrospectively analyze, and the patients were divided into the
observation group ( endoscopic radical resection of thyroid cancer via transoral vestibular approach, n =50) and the control group
(open radical resection of thyroid cancer, n =46). The perioperative indicators of the two groups were compared, and the stress
response indexes [C-reactive protein (CRP), blood glucose, cortisol (Cor)] were evaluated in the two groups before surgery and
at 1d after surgery, and the pain [Visual analogue scale (VAS)] was evaluated at 1d after surgery and at 3d after surgery, and the
complications was recorded in the two groups at follow-up, and the incision satisfaction [subjective satisfaction, Vancouver scar
scale (VSS)] was evaluated in the two groups. Results The operative time in the observation group was longer than that in the
control group, the difference was statistically significant (P ＜0.05). And the intraoperative blood loss, postoperative drainage
volume and hospital stay in the observation group were less than those in the control group (P ＜0.05). There was no statistically
significant difference in the number of dissectedlymph nodes between the two groups (P ＞0.05). At 1d after surgery, the CRP,
blood glucoseand Cor in the two groups were higher than those before surgery (P ＜0.05). And the increases of CRP and Cor in
the observation group were less than those in the control group (P ＜0.05). There was no statistically significant difference in the
postoperative blood glucose between the two groups (P ＞0.05). The VAS scores of the observation group were lower than those
of the control group at 1d and 3d after operation (P ＜0.05). The VAS score at 3d after operation was lower than that at 1d after
operation (P ＜0.05). There was no significant difference in sound changes, lower lip numbness, temporary recurrent laryngeal
nerve injury, incision infection and the incidence of total complications between the two groups (P ＞0.05). Three months after
operation, the overall excellent and good rate of subjective satisfaction of incision in the observation group was higher than that
in the control group, and the VSS score was lower than that in the control group (P ＜0.05). Conclusion Endoscopic radical
resection of thyroid cancer via transoral vestibular approach is safe and effective in the treatment of thyroid cancer, and it is
conducive to improving the satisfaction of incision appearance.

相似文献/References:

[1]凌 尧,兰雪君,欧 敏.经口腔前庭入路与经腋窝入路腔镜手术治疗甲状腺癌的效果对比[J].中国美容医学,2024,(5):13.
　LING Yao,LAN Xuejun,OU Min.Comparison of the Effects of Endoscopic Transoral Vestibular Approach and Transaxillary Approach in the Treatment of Thyroid Cancer[J].Medical Aesthetics and Beauty,2024,(10):13.

更新日期/Last Update: 2021-11-02