摘要
目的:比较甲状腺结节患者在腔镜甲状腺切除术中应用经乳晕入路与经口腔前庭入路进行治疗的效果与安全性。方法:选择2022年1—12月重庆市酉阳县人民医院收治的60例甲状腺结节患者作为研究对象,采用单双号法将患者分为对照组、观察组,各30例。观察组采用经口腔前庭入路行腔镜甲状腺切除术治疗,对照组采用经乳晕入路行腔镜甲状腺切除术治疗。比较两组手术前后的嗓音障碍评分、吞咽功能障碍评分、术后疼痛评分及并发症发生率。结果:术后,观察组嗓音障碍指数(VHI)评分、吞咽障碍评分量表(SIS)评分均低于对照组,差异有统计学意义(P<0.05)。观察组术后视觉模拟评分法(VAS)评分为(1.06±0.14)分,低于对照组的(3.02±0.25)分,差异有统计学意义(t=9.148,P<0.05)。观察组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论:相比于经乳晕入路行腔镜甲状腺切除术,经口腔前庭入路行腔镜甲状腺切除术治疗甲状腺结节患者的临床效果及安全性更高。
Objective:To compare the efficacy and safety of oral vestibule approach and areola approach in endoscopic thyroidectomy for patients with thyroid nodules.Method:A total of 60 patients with thyroid nodules treated in the Youyang County People's Hospital of Chongqing from January to December 2022 were selected as the study objects.The patients were divided into control group and observation group by odd-even number method,with 30 patients in each group.The observation group was treated with endoscopic thyroidectomy via oral vestibule approach,while the control group was treated with endoscopic thyroidectomy via areola approach.The score of voice disorder,swallowing dysfunction before and after operation,postoperative pain and complication rate were compared between the two groups.Result:After operation,the score of voice handicap index(VHI)and swallowing impairment scale(SIS)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The visual analogue scale(VAS)score of the observation group was(1.06±0.14)points,which was lower than(3.02±0.25)points of the control group,and the difference was statistically significant(t=9.148,P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Compared with endoscopic thyroidectomy via areola approach,endoscopic thyroidectomy via oral vestibule approach is more effective and safer in the treatment of thyroid nodules.
作者
陈伟
CHEN Wei(Youyang County People's Hospital of Chongqing,Chongqing 409800,China)
出处
《中外医学研究》
2024年第13期116-119,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
