| 摘要: |
| 目的 研究一种改良型甲状腺手术拉钩支架在充气法经腋窝甲状腺癌(TGC)根治术中的应用价值。方法:选取 2021年 4月—2023年 11月我院收治的 TGC患者 106例，随机分为对照组和试验组各 53例，对照组应用传统甲状腺手术拉钩下的充气法经腋窝 TGC根治术治疗，试验组应用改良型甲状腺手术拉钩支架下的充气法经腋窝 TGC根治术治疗。对比两组手术耗时、住院时长、手术出血量及术后引流量情况；对比两组术前及术后甲状旁腺激素(PTH)、甲状腺球蛋白(Tg)水平，以及两组术后疼痛情况 [视觉模拟评分(VAS)、数字疼痛评分(NRS)]，对比两组术后切口外观满意度以及并发症发生率。结果:试验组手术耗时、住院时长均短于对照组(P<0.05)手术出血量、术后引流量均少于对照组(P<0.05)。术后试验组 VAS、NRS评分及 Tg水平均低于对照组(P<0.05)且切口外观满，意度均高于对照组(P<0.05)。试验组术后并发症发生率少于对照组( 5.66% vs 18.87%)，差异有统计学意义(P<0.05)。结论:改良型甲状腺手术拉钩支架应用于充气法经腋窝 TGC根治术可缩短手术时长，减轻损伤与疼痛，减少术后并发症，促进术后恢复。 |
| 关键词: 改良型甲状腺手术拉钩支架 充气法 甲状腺癌 根治术 |
| DOI：10.3969/j.issn.1007-6948.2025.01.018 |
| 投稿时间：2024-03-25 |
| 基金项目:惠州市医疗卫生领域科技计划项目(2023CZ010250) |
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| A study on the use of modified thyroid surgical pull-hook stent in the inflatable method of transaxillary radical thyroid cancer surgery |
| GUO Chao-hui,JIANG Huo-da,HUANG Cai-hong |
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| Abstract: |
| Objective To study the value of a modified thyroid surgical pull-hook stent in the inflatable method of transaxillary radical thyroid cancer (TGC) surgery. Methods A total of 106 patients with TGC were selected from April 2021 to November 2023, and were divided into a control group and an experimental group of 53 cases each according to the statistical randomization method. The control group was treated with axillary radical TGC by the inflation method under the traditional thyroid surgical hook, and the experimental group was treated with axillary radical TGC by the inflation method under the modified thyroid surgical hook stent.Comparison of surgery time consuming, hospitalization length, surgical bleeding and postoperative drainage between the two groups; comparison of preoperative and postoperative levels of parathyroid hormone (PTH) and thyroglobulin (Tg) as well as postoperative pain [visual analog score (VAS), numeric pain score (NRS)] between the two groups; and comparison of satisfaction with the appearance of the incision as well as the number of cases of complication between the two groups. Results Surgical time consuming and hospitalization length were shorter in the test group than in the control group (p<0.05), and surgical bleeding, as well as the number of cases of postoperative drainage and postoperative complications, were less than in the control group (p<0.05).Postoperatively, VAS, NRS score and Tg level of the experimental group were lower than that of the control group(p<0.05), and the satisfaction of incision appearance was higher than that of the control group (p<0.05). Theincidence of postoperative complications in the experimental group was lower than that in the control group(5.66% vs 18.87% , p<0.05). Conclusion Themodified thyroid surgical pull-hook stent proposed in this study can be used to shorten the duration of surgery, reduce injury and pain, facilitate postoperative recovery, and minimize postoperative complications during pneumatic transaxillary TGC radical surgery. |
| Key words: Modified thyroid surgical pull-hook stent inflatable method thyroid cancer radical surgery |
