局解手术学杂志2025，Vol.34Issue(6)：530-534,5.DOI:10.11659/jjssx.08E024043
经颈侧方切口胸锁乳突肌入路甲状腺手术的临床效果分析
Clinical efficacy analysis of thyroid surgery via the sternocleidomastoid muscle approach through a lateral cervical incision
摘要
Abstract
Objective To systematically evaluate the clinical efficacy of thyroid surgery via the sternocleidomastoid muscle approach with lateral cervical incision.Methods A total of 286 patients undergoing thyroid surgery in Yuncheng Central Hospital Affiliated to Shanxi Medical University and the First Hospital of Shanxi Medical University from June 2022 to June 2023 were enrolled,and were divided into the lateral incision group(102 cases)and the median incision group(184 cases)according to the surgical approach.The clinical data including intraoperative bleeding volume,postoperative recovery time,intraoperative neuromonitoring signal changes,postoperative pain visual analogue scale(VAS)score,quality of life score,and postoperative complications of patients were compared between the two groups.Results The intraoperative bleeding volume of patients in the lateral incision group was significantly lower than that in the median incision group(P=0.03),and the postoperative recovery time was significantly shorter than that in the median incision group(P=0.01).Intraoperative monitoring of the recurrent laryngeal nerve showed that the residual amplitude of nerve signals in the lateral incision group was significantly greater than that in the median incision group(P<0.05),and the change in nerve signals latency was significantly smaller than that in the median incision group(P<0.05).The VAS scores of patients in the lateral incision group 3 days and 7 days after surgery were significantly lower than those in the median incision group(P<0.05).The quality of life scores of patients in the lateral incision group 3 months and 1 year after surgery were significantly higher than those in the median incision group(P<0.05).There was no statistically significant difference in the incidence of postoperative complications of patients between the two groups(P=0.15).Conclusion Thyroid surgery via the sternocleidomastoid muscle approach with lateral cervical incision has definite therapeutic effects,which can reduce intraoperative bleeding,shorten the postoperative recovery time,alleviate postoperative pain,and improve the quality of life of patients.关键词
甲状腺手术/颈侧方切口/正中切口/疗效/安全性Key words
thyroid surgery/lateral cervical incision/median incision/efficacy/safety分类
医药卫生引用本文复制引用
席敏岗,景佳,霍云峰,张进..经颈侧方切口胸锁乳突肌入路甲状腺手术的临床效果分析[J].局解手术学杂志,2025,34(6):530-534,5.基金项目
山西省医学重点科研项目(2020XM57) （2020XM57）
