局解手术学杂志2025，Vol.34Issue(4)：329-332,4.DOI:10.11659/jjssx.08E024010
无充气腋窝入路腔镜甲状腺手术在早期甲状腺肿瘤中的应用效果
Application effect of gasless endoscopic thyroidectomy via axillary approach in early thyroid tumor
摘要
Abstract
Objective To explore the effects of gasless endoscopic thyroidectomy via axillary approach on neck function and aesthetic effect in patients with early thyroid tumor.Methods A prospective study was conducted on 116 patients with early thyroid tumor admitted to our hospital from December 2020 to December 2023.They were divided into the observation group and the control group according to block random method,with 58 cases in each group.Patients in the control group underwent open thyroidectomy,while patients in the observation group underwent gasless endoscopic thyroidectomy via axillary approach.The surgical indicators,neck function,cosmetic effect,and complications of patients in the two groups were compared.Results Compared with the control group,the observation group had a longer surgical time(P<0.05),less intraoperative bleeding and postoperative drainage volume(P<0.05).There were statistically significant differences in terms of the time point,inter-group and interaction effects of the neck injury index and the time point and inter-group effects of swallowing disorder index of patients between the two groups(P<0.05).Compared with 3 days after surgery,the neck injury index and swallowing disorder index at 6 months and 12 months after surgery of patients in both groups decreased(P<0.05),and the neck injury index and swallowing disorder index at 6 months and 12 months after surgery of patients in the observation group were lower than those in the control group(P<0.05).Compared with the control group,the observation group had better cosmetic effects(P<0.05).The total incidence of complications of patients in the observation group was lower than that in the control group(P<0.05).Conclusion Gasless endoscopic thyroidectomy via axillary approach has better efficacy for early thyroid tumor,which can effectively improve neck function and aesthetic effect,promote the recovery of patients,and has high safety and patient satisfaction.关键词
甲状腺肿瘤/早期/无充气腋窝入路腔镜甲状腺手术/免疫功能/颈部功能/美学效果Key words
thyroid tumor/early/gasless endoscopic thyroidectomy via axillary approach/immune function/neck function/aesthetic effect分类
医药卫生引用本文复制引用
何岩,周腼,时通,张琪,朱小朝..无充气腋窝入路腔镜甲状腺手术在早期甲状腺肿瘤中的应用效果[J].局解手术学杂志,2025,34(4):329-332,4.基金项目
宿迁市第一人民医院科研专项项目(SY202208) （SY202208）
2021年度徐州医科大学附属医院发展基金(XYFZ2021008) （XYFZ2021008）
