[1]廖声有,欧阳振福,唐 棻.解剖颏神经单切口经口腔前庭入路腔镜甲状腺手术的应用价值[J].医学信息,2022,35(17):70-72.[doi:10.3969/j.issn.1006-1959.2022.17.017]
　LIAO Sheng-you,OUYANG Zhen-fu,TANG Fen.Clinical Application of Endoscopic Thyroidectomy via Oral Vestibular Approach Through Single Incision of Mental Nerve[J].Journal of Medical Information,2022,35(17):70-72.[doi:10.3969/j.issn.1006-1959.2022.17.017]
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解剖颏神经单切口经口腔前庭入路腔镜甲状腺手术的应用价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年17期
页码:
70-72
栏目:
论著
出版日期:
2022-09-01

文章信息/Info

Title:
Clinical Application of Endoscopic Thyroidectomy via Oral Vestibular Approach Through Single Incision of Mental Nerve
文章编号:
1006-1959（2022）17-0070-03
作者:
廖声有; 欧阳振福; 唐 棻
（安远县人民医院肿瘤科，江西 安远 342100）
Author(s):
LIAO Sheng-you; OUYANG Zhen-fu; TANG Fen
(Department of Oncology,Anyuan County People’s Hospital,Anyuan 342100,Jiangxi,China)
关键词:
解剖颏神经; 单切口; 经口腔前庭入路; 甲状腺手术
Keywords:
Anatomy of mental nerve; Single incision; Transoral vestibular approach; Thyroid surgery
分类号:
R653
DOI:
10.3969/j.issn.1006-1959.2022.17.017
文献标志码:
A
摘要:
目的 观察解剖颏神经单切口经口腔前庭入路腔镜甲状腺手术的临床效果。方法 选取2018年6月-2021年6月在我院行甲状腺手术的46例患者为研究对象，采用随机数字表法分为对照组和观察组，各23例。对照组采用完全乳晕入路腔镜甲状腺手术治疗，观察组采用解剖颏神经单切口经口腔前庭入路腔镜甲状腺手术治疗，比较两组临床手术指标、术后疼痛评分、炎症因子、并发症发生率及治疗满意度。结果 观察组手术切口、手术时间、术中出血量、住院时间均小于对照组（P＜0.05）；观察组术后疼痛评分低于对照组（P＜0.05）；两组C-反应蛋白（CRP）、白细胞计数（WBC）均升高，但观察组低于对照组（P＜0.05）；观察组并发症发生率为8.69%，低于对照组的21.73%（P＜0.05）；观察组治疗满意度为95.45%，高于对照组的82.60%（P＜0.05）。结论 解剖颏神经单切口经口腔前庭入路腔镜甲状腺手术具有切口小，术中出血量少等特点，可利于患者术后恢复，缩短住院时间，降低并发症发生率，提高治疗满意度，减轻术后炎症反应，是一种有效的甲状腺手术方法，值得临床应用。
Abstract:
Objective To observe the clinical effect of endoscopic thyroidectomy via oral vestibular approach through single incision of mental nerve.Methods A total of 46 patients who underwent thyroid surgery in our hospital from June 2018 to June 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 23 cases in each group. The control group was treated by endoscopic thyroidectomy via complete areola mammae approach, and the observation group was treated by endoscopic thyroidectomy via oral vestibular approach through single incision of mental nerve. The clinical operation indexes, postoperative pain score, inflammatory factors, complication rate and treatment satisfaction were compared between the two groups.Results The incision, operation time, intraoperative blood loss and hospitalization time of the observation group were less than those of the control group (P<0.05). The postoperative pain score of the observation group was lower than that of the control group (P<0.05). C-reactive protein (CRP) and white blood cell count (WBC) increased in both groups, but the observation group was lower than the control group (P<0.05). The incidence of complications in the observation group was 8.69%, which was lower than 21.73% in the control group (P<0.05). The treatment satisfaction of the observation group was 95.45%, which was higher than 82.60% of the control group (P<0.05).Conclusion Endoscopic thyroidectomy via oral vestibular approach through single incision of anatomical mental nerve has the characteristics of small incision and less intraoperative blood loss. It can help patients recover after operation, shorten hospitalization time, reduce the incidence of complications, improve treatment satisfaction and reduce postoperative inflammatory reaction, which is an effective method of thyroid surgery and worthy of clinical application.

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更新日期/Last Update: 1900-01-01