[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):13-17.
　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,(5):13-17.
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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()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年5期
页码:
13-17
栏目:
出版日期:
2024-05-10

文章信息/Info

Title:
Comparison of the Effects of Endoscopic Transoral Vestibular Approach and Transaxillary Approach in the Treatment of Thyroid Cancer
文章编号:
1008-6455（2024）05-0013-04
作者:
凌 尧1 ; 兰雪君2 ; 欧 敏3
(四川大学华西医院 1. 甲状腺外科;2.体检中心;3.重症医学科 四川 成都 610041 )
Author(s):
LING Yao 1 ;  LAN Xuejun2 ;  OU Min3
( 1.Department of Thyroid Surgery, 2.Medical Examination Center, 3.Department of Intensive Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China )
关键词:
经口腔前庭入路; 经腋窝入路; 甲状腺癌; 手术治疗; 美学效果
Keywords:
transoral vestibular approach;  transaxillary approach;  thyroid cancer;  surgical treatment;  aesthetic eff ect
分类号:
R61
文献标志码:
A
摘要:
目的：分析比较经口腔前庭入路与经腋窝入路腔镜手术治疗甲状腺癌的临床效果。方法：回顾性分析2020年6月-2022 年12月在笔者医院接受手术治疗的144例甲状腺癌患者临床资料，依据手术方式不同分为A组（n=45，传统开放手术）、B组 （n=50，经口腔前庭入路腔镜手术）及C组（n=49，经腋窝入路腔镜手术），比较三组手术相关指标、术后不同时间点疼痛 评分、美学效果[温哥华瘢痕量表（Vancouver scar scale，VSS）]及术后并发症发生率。结果：B组手术时间长于A、C两组 （P＜0.05）；B、C两组术中出血量、引流量均少于A组，术中淋巴结清扫数目均多于A组，住院时间短于A组，差异均有统 计学意义（P＜0.05）；B、C两组术后1 d、术后3 d、术后1个月、术后3个月疼痛VAS评分均低于A组，差异有统计学意义（P ＜0.05）；术后3个月B、C两组VSS评分均低于A组，且B组VSS评分较C组更低，差异有统计学意义（P＜0.05）；三组间术后并发症比较差异无统计学意义（P＞0.05）。结论：与传统开放术比较，经口腔前庭入路与经腋窝入路腔镜手术治疗效果均 更好，均可有效减轻术后疼痛，同时经口腔前庭入路具有术中淋巴结清扫数目多，美学效果好等优势，经腋窝入路具有手术 时间短的优点，临床可依据不同情况选择合适的手术方案。
Abstract:
Objective To analyze and compare the clinical eff ects of endoscopic transoral vestibular approach and transaxillary approach in the treatment of thyroid cancer. Methods A total of 144 patients with thyroid cancer who underwent surgical treatment in the author’s hospital from June 2020 to December 2022 were reviewed.They were divided into group A (n=45, traditional open surgery), group B (n=50, endoscopic transoral vestibular approach) and group C (n=49, endoscopic transaxillary approach) according to diff erent surgical methods.Surgery related indicators, pain scores at diff erent time points after surgery, wound cosmetic effect [Vancouver scar scale (VSS)] and the incidence of postoperative complications were compared among the three groups. Results The operation time of group B was longer than that of group A and group C (P＜0.05). The intraoperative bleeding volume and drainage volume of group B and group C were less than those of group A.Lymph nodes removed during operation were more than group A, and hospital stay was shorter than that of group A (all P ＜0.05).The VAS scores of group B and group C on day 1 and day 3 after operation, and at 1 month and 3 months after operation were lower than those of group A (P＜0.05).At 3 months after operation, the VSS scores of group B and group C were lower than those of group A, and the VSS scores of group B were lower than those of group C (P＜0.05).The incidence rates of postoperative complications in the three groups were close (P＞0.05). Conclusion Compared with traditional open surgery, endoscopic transoral vestibular approach and transaxillary approach are more eff ective in the treatment of patients with thyroid cancer, which can eff ectively relieve postoperative pain.In addition, endoscopic transoral vestibular approach can make more lymph nodes removed during operation, with good cosmetic eff ect. Transaxillary approach has the advantages of short operation time.In clinical practice, appropriate surgical scheme can be selected according to actual condition.

相似文献/References:

[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.
　 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,(5):41.

更新日期/Last Update: 2024-05-07