经口腔前庭入路和经乳晕入路行甲状腺切除术治疗甲状腺肿瘤的效果

Effects of Thyroidectomy through Oral Vestibular Approach and Areola Approach in the Treatment of Thyroid Tumor

目的:探析经口腔前庭入路和经乳晕入路行甲状腺切除术治疗甲状腺肿瘤的效果。方法:选取2018年3月-2020年12月在本院行甲状腺切除术的50例甲状腺肿瘤患者,随机分为A、B组,各25例。A组经口腔前庭入路,B组经乳晕入路,比较两组治疗效果、临床指标、疼痛程度、并发症及美容满意度评分。结果:两组治疗总有效率、各项临床指标、并发症发生率及术后1 d VAS评分相比,差异无统计学意义(P>0.05);术后2 d时,A组VAS评分低于B组,差异有统计学意义(P<0.05)。A组患者与观察者瘢痕评估量表(POSAS)评分低于B组,差异有统计学意义(P<0.05)。结论:经口腔前庭入路和经乳晕入路行甲状腺切除术治疗甲状腺肿瘤的效果与安全性相当,但前者术后疼痛程度更轻,并可提高患者的美容满意度。

Objective:To explore the effect of thyroidectomy through oral vestibular approach and areola approach in the treatment of thyroid tumor.Method:A total of 50 patients with thyroid tumor who underwent thyroidectomy in our hospital from March 2018 to December 2020 were selected and randomly divided into the group A (through oral vestibular approach) and the group B (through areola approach),25 cases in each group.The group A was through oral vestibular approach and the group B was through areola approach.The treatment effect,clinical indexes,pain,complications and cosmetic satisfaction score were compared between the two groups.Result:There were no significant differences in the total effective rate,clinical indexes,incidence of complications and VAS score 1 d after operation between the two groups (P>0.05);2 d after operation,the VAS score of the group A was lower than that of the group B (P<0.05).The patient and observer scar assessment scale (POASA) score of the group A was lower than that of the group B (P<0.05).Conclusion:The efficacy and safety of oral vestibular approach and areola approach for thyroidectomy in the treatment of thyroid tumors are similar,but the former has less postoperative pain and can improve the cosmetic satisfaction of patients.