腹腔镜外科杂志2024,Vol.29Issue(9) :641-646.DOI:10.13499/j.cnki.fqjwkzz.2024.09.641

数字化技术在经颏下前庭入路腔镜甲状腺手术中的应用

Digital technology application in endoscopic thyroid surgery via submental vestibular approach

俞建平 何春 彭云 文玉忠 肖锡岗
腹腔镜外科杂志2024,Vol.29Issue(9) :641-646.DOI:10.13499/j.cnki.fqjwkzz.2024.09.641

数字化技术在经颏下前庭入路腔镜甲状腺手术中的应用

Digital technology application in endoscopic thyroid surgery via submental vestibular approach

俞建平 1何春 1彭云 1文玉忠 1肖锡岗1
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作者信息

  • 1. 赣州市人民医院甲状腺外科,江西 赣州,341000
  • 折叠

摘要

目的:探讨三维数字化技术在经颏下前庭入路腔镜甲状腺手术中的应用价值.方法:将 2022 年 1 月 1 日至2023 年12 月31 日经术前细胞学诊断明确为甲状腺乳头状癌的60 例患者随机分为数字化组(n=30)与常规手术组(n=30),数字化组经颏下前庭入路行腔镜甲状腺手术联合三维数字化模型制作,常规手术组仅行经颏下前庭入路腔镜甲状腺手术.比较两组术前与患者沟通时间、术中出血量、手术时间、术后并发症等相关指标.结果:两组手术均获成功,数字化组与常规手术组术前与患者沟通时间[(21.83±4.83)min vs.(32.07±6.61)min]、手术时间[(112.03±8.33)min vs.(138.01±13.29)min]、术中出血量[(13.63±3.81)mL vs.(19.17±4.51)mL]差异有统计学意义(P<0.05).两组术后并发症差异无统计学意义(P>0.05).结论:三维数字化技术的应用可提高医患沟通效率,减少术中出血量,缩短手术时间,提高腔镜甲状腺手术的安全性,值得推广应用.

Abstract

Objective:To investigate the application value of three-dimensional digitization technology in endoscopic thyroid surgery via the submental vestibular approach.Methods:Sixty patients with papillary thyroid carcinoma diagnosed by preoperative cyto-logy from Jan.1,2022 to Dec.31,2023 were randomly divided into digital group(n=30)and conventional surgery group(n=30).The digital group underwent endoscopic thyroid surgery through submental vestibular approach combined with three-dimensional digital mo-del,and the conventional surgery group only underwent endoscopic thyroid surgery through submental vestibular approach.Preoperative communication time,intraoperative blood loss,operative time and postoperative complications were compared between the two groups.Results:Surgery was successful in both groups.In the digital group and conventional surgery group,the preoperative communication time[(21.83±4.83)min vs.(32.07±6.61)min],operative time[(112.03±8.33)min vs.(138.01±13.29)min],and the intraoperative blood loss[(13.63±3.81)mL vs.(19.17±4.51)mL]were statistically significantly different(P<0.05).There was no significant difference in postoperative complications between the two groups(P>0.05).Conclusions:The application of three-dimensional digital technology can improve the efficiency of doctor-patient communication,reduce the amount of intraoperative blood loss,shorten the opera-tion time,and improve the safety of endoscopic thyroid surgery.This technique is worthy of application and popularization.

关键词

甲状腺肿瘤/内窥镜检查/经颏下前庭入路/三维数字化技术

Key words

Thyroid neoplasms/Endoscopy/Submental vestibular approach/Three-dimensional digital technology

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基金项目

江西省卫生计生委科技计划项目(202212480)

出版年

2024
腹腔镜外科杂志
山东大学

腹腔镜外科杂志

CSTPCD
影响因子:0.861
ISSN:1009-6612
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