经乳晕入路腔镜下行甲状腺切除术对女性患者临床疗效及切口瘢痕满意度的研究

Study on Clinical Efficacy and Satisfaction of Incision Scar of Female Thyroid Adenoma Patients Treated with Endoscopic Thyroidectomy Breast Areola Approach

目的:研究经乳晕入路行腔镜甲状腺切除术对女性甲状腺腺瘤患者临床疗效及切口瘢痕满意度的影响。方法:选取笔者医院2016年4月-2018年4月收治的180例甲状腺腺瘤患者纳入研究,以随机数表法分为观察组与对照组,每组90例。对照组实施传统甲状腺切除手术治疗,观察组经乳晕入路实施腔镜甲状腺切除手术。对比两组围术期手术时间、出血量、拆线时间、住院时间、住院费用及术后温哥华瘢痕量表(Vancouver scar scale,VSS)、患者与观察者瘢痕评估量表(Patient and observer scar assessment scale,POSAS)、术后并发症发生情况。结果:观察组出血量、拆线时间、住院时间、住院费用显著少于对照组,差异有统计学意义(P<0.05);观察组手术时间显著长于对照组,差异有统计学意义(P<0.05)。观察组术后VSS、PSAS、OSAS评分显著低于对照组,且观察组术后并发症总发生率4.44%显著低于对照组的14.44%,差异有统计学意义(P<0.05)。结论:经乳晕入路行腔镜甲状腺切除手术可提高女性甲状腺腺瘤患者美容满意度,且术后并发症风险低,值得临床应用。

Objective To study the effect of endoscopic thyroidectomy breast areola approach on clinical efficacy and satisfaction of incision scar in female patients with thyroid adenoma.Methods 180 cases of thyroid adenoma patients admitted to our hospital from April 2016 to April 2018 were included in the study subject,and were divided into the observation group and the control group by random number table method,90 cases in each group.Conventional thyroidectomy was performed in the control group,and endoscopic thyroidectomy was performed in the observation group through the breast areola approach.The perioperative operation time,blood loss,stitching removal time,hospitalization time,hospitalization cost,VSS and POSAS,and the incidence of postoperative complications were compared between the two groups.Results The amount of blood loss,stitching removal time,hospitalization time and hospitalization cost in the observation group were significantly less than those in the control group,the difference were statistically significant(P<0.05).The operation time of the observation group was significantly longer than that of the control group(P<0.05).The postoperative VSS,PSAS and OSAS scores in the observation group were significantly lower than those in the control group(P<0.05).The total incidence of postoperative complications in the observation group was 4.44%,significantly lower than that in the control group(14.44%,P<0.05).Conclusion Endoscopic thyroidectomy breast areola approach can improve the cosmetic satisfaction of female patients with thyroid adenoma,and the risk of postoperative complications is low,which is worthy of clinical application.