经带状肌间入路暴露甲状腺上极行甲状腺叶切除术的效果观察

Study on effect of thyroidectomy by exposing the upper pole of thyroid via cervical strap muscles approach

目的比较经带状肌间入路与经环甲肌入路暴露甲状腺上极行甲状腺叶切除术的效果差异。方法选取42例需接受手术治疗的甲状腺疾病患者作为研究对象,根据手术入路方法的不同分为带状肌间入路组20例和环甲肌入路组22例。比较2组甲状腺上极暴露程度、喉上神经显露率、手术时间、术中出血量和术后并发症发生情况。结果带状肌间入路组的甲状腺上极暴露程度、喉上神经显露率均高于环甲肌入路组,差异有统计学意义(P<0.05);2组手术时间、术中出血量及并发症情况比较,差异无统计学意义(P>0.05)。结论与经环甲肌入路比较,经带状肌间入路行甲状腺叶切除术可获得更好的甲状腺上极暴露效果,喉上神经显露率高,且术后并发症较少。

Objective To explore effect of thyroidectomy by exposing the upper pole of thyroid via cricothyroid muscle approach versus the cervical strap muscle approach.Methods A total of 42 patients with thyroid diseases who need surgeries were selected as research objects.According to different surgical approaches,they were divided into cervical strap muscle approach group(n=20)and cricothyroid muscle approach group(n=22).The degree of exposure of upper pole of thyroid gland,exposure rate of the superior laryngeal nerve,operation time,intraoperative blood loss,and occurrence of postoperative complications in the two groups were compared.Results The exposure degree of the upper thyroid pole and exposure rate of the superior laryngeal nerve in the cervical strap muscle approach group were better than those cricothyroid muscle approach group(P<0.05).There were no significant differences in operation time,intraoperative blood loss,and complications between the two groups(P>0.05).Conclusion Compared with thyroidectomy via the cricothyroid approach,thyroidectomy via the cervical strap muscle approach has a better exposure effect on the upper thyroid pole,a higher exposure rate of the superior laryngeal nerve,and has less postoperative complications.