摘要
目的探讨颈侧切口入路与传统正中切口入路治疗甲状腺癌的效果及对切口美观度、疼痛程度的影响。方法选取2019年1月至2023年6月收治的69例甲状腺癌患者,根据手术入路方式不同将其分为对照组(37例,接受传统正中切口入路)和观察组(32例,接受颈侧切口入路)。比较两组的围术期相关指标、淋巴结清扫数目、切口美容评分、疼痛程度及术后并发症发生情况。结果观察组的手术切口长度、手术操作时间短于对照组,差异具有统计学意义(P<0.05);两组的术中出血量、住院时间比较,差异无统计学意义(P>0.05)。两组的淋巴结清扫数目比较,差异无统计学意义(P>0.05);观察组的切口美容评分高于对照组,差异具有统计学意义(P<0.05)。术后12、24、48 h,观察组的疼痛数字评分法(NRS)评分低于对照组,差异具有统计学意义(P<0.05)。观察组的颈前瘢痕增生、颈前肌群皮肤吞咽联动明显发生率低于对照组,差异具有统计学意义(P<0.05)。结论颈侧切口入路与传统正中切口入路均可取得满意的手术效果,但颈侧切口入路美容效果更好,且疼痛程度相对较轻,手术创伤更小,可有效预防术后并发症发生。
Objective To investigate the effect of cervical incision approach and traditional median incision approach in the treatment of thyroid cancer and its influences on incision aesthetics and pain degree.Methods A total of 69 patients with thyroid cancer admitted from January 2019 to June 2023 were selected and divided into control group(37 cases,receiving traditional median incision approach)and observation group(32 cases,receiving cervical incision approach)according to different surgical approaches.The perioperative related indexes,number of lymph node dissection,incision cosmetic score,pain degree and postoperative complications were compared between the two groups.Results The incision length and operation time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05);there were no significant differences in intraoperative blood loss and hospitalization time between the two groups(P>0.05).There was no significant difference in the number of lymph node dissection between the two groups(P>0.05);the incision cosmetic score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).At 12,24 and 48 h after operation,the Numeric Rating Scale(NRS)score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The incidence of anterior cervical scar hyperplasia and obvious skin swallowing linkage of anterior jugular muscles in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Both cervical incision approach and traditional median incision approach can achieve satisfactory surgical results,but the cervical incision approach has better cosmetic results,light pain and less surgical trauma,which can effectively prevent postoperative complications.
作者
王昌泉
黄天斌
WANG Changquan;HUANG Tianbin(Wuzhou Red Cross Hospital,Wuzhou 543002,China)
出处
《临床医学研究与实践》
2025年第23期78-81,共4页
Clinical Research and Practice
关键词
传统正中切口入路
颈侧切口入路
甲状腺癌
疼痛
traditional median incision approach
cervical incision approach
thyroid cancer
pain
作者简介
王昌泉(1986-),男,主治医师,硕士。研究方向:头颈肿瘤外科及综合治疗/创面修复;通讯作者:黄天斌,E-mail:huangtianwenwu@sina.com.
