Endoscopic thyroidectomy via oral vestibular approach versus via areola approach for patients with thyroid nodules
Objective To explore the effects of endoscopic thyroidectomy via the oral vestibular approach versus via the areola approach in the treatment of patients with thyroid nodules.Methods A total of 86 patients with thyroid nodules admitted to Dezhou Municipal Hospital from March 2021 to March 2022 were selected for the randomized controlled trial.They were divided into a conventional group and a study group by the random number table method,with 43 cases in each group.There were 22 males and 21 females in the conventional group;they were 48-82(59.85±10.25)years old.There were 20 males and 23 females in the study group;they were 47-81(59.52±10.01)years.The conventional group underwent endoscopic thyroidectomy via the areola approach,while the study group underwent endoscopic thyroidectomy via the oral vestibular approach.The surgery-related indicators(intraoperative bleeding volume and operation time),scores of Standardized Swallowing Assessment(SSA),and incidences of complications within 1 month after the surgery were compared between the two groups.t and x2 tests were applied.Results The operation time and intraoperative bleeding volume in the study group were less than those in the conventional group[(52.14±10.02)min vs.(56.87±10.14)min and(12.14±2.85)ml vs.(15.74±3.01)ml],with statistical differences(t=2.176 and 5.695;P=0.032 and＜0.001).Before the surgery,there was no statistical difference in the score of SSA between the two groups(P＞0.05).After the surgery,the scores of SSA in both groups were lower than those before the surgery;the score in the study group was lower than that in the conventional group[(18.12±1.11)vs.(21.58± 1.25)];there were statistical differences(all P＜0.05).The incidence of complications within 1 month after the surgery in the study group was lower than that in the conventional group[4.65％(2/43)vs.18.60％(8/43);P＜0.05].Conclusion Compared with endoscopic thyroidectomy through the areolar approach,endoscopic thyroidectomy through the oral vestibular approach is more effective for patients with thyroid nodules,and can reduce surgical trauma,improve their swallowing function,and reduce the incidence of complications.
万方数据
维普
