局解手术学杂志2024，Vol.33Issue(2)：166-169,4.DOI:10.11659/jjssx.05E023143
无充气经腋窝入路与经胸乳入路手术治疗甲状腺癌的疗效分析
Efficacy of non-inflatable transaxillary approach and transthoracic approach surgery in treatment of thyroid cancer
摘要
Abstract
Objective To analyze the clinical efficacy of non-inflatable transaxillary approach and transthoracic approach surgery for thyroid cancer,and analyze the occurrence of postoperative complications in patients.Methods The clinical data of 88 patients with thyroid cancer who underwent surgical treatment in our hospital from October 2019 to November 2022 were analyzed.They were divided into group A and B according to the surgical method.Forty-five patients in group A received complete endoscopic thyroidectomy through the non-inflatable axillary approach,while 43 patients in group B received endoscopic thyroidectomy through the thoracic approach.The perioperative indicators,satisfaction with surgical incision,postoperative pain,and incidence of complications of patients in the two groups were compared.And the main influence factors for the occurrence of complications were analyzed.Results The total satisfaction rate for surgical incision of patients in group A was significantly higher than that in group B(P<0.05);while the intraoperative bleeding volume and postoperative drainage volume of patients in group A were significantly lower than those in group B(P<0.05).The VAS score 3 and 5 days after surgery were significantly lower than that 1 day after surgery(P<0.05),and the VAS score 5 days after surgery was lower than that 3 days after surgery(P<0.05).The incidence of postoperative complications in group A was significantly lower than that in group B(P<0.05).Logistic regression results showed that intraoperative bleeding volume was the independent influencing factor for postoperative complications(P<0.05).Conclusion Both non-inflatable transaxillary approach and transthoracic approach surgery are effective for thyroid cancer,but the non-inflatable transaxillary approach surgery has the advantages of concealed incision,higher postoperative aesthetics,and less intraoperative bleeding volume,postoperative drainage volume and postoperative complications.Excessive intraoperative bleeding is the main factor leading to postoperative complications.关键词
腔镜/无充气经腋窝入路/经胸乳入路/甲状腺癌/疗效/并发症Key words
endoscope/non-inflatable transaxillary approach/transthoracic approach/thyroid cancer/efficacy/complication分类
医药卫生引用本文复制引用
舒乐,黄湘俊,彭书旺,李澜..无充气经腋窝入路与经胸乳入路手术治疗甲状腺癌的疗效分析[J].局解手术学杂志,2024,33(2):166-169,4.基金项目
2021年度湖南省卫生健康委科研课题(202104010382) （202104010382）
