首页|经口腔前庭入路腔镜甲状腺癌根治术治疗甲状腺癌临床效果观察

经口腔前庭入路腔镜甲状腺癌根治术治疗甲状腺癌临床效果观察

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目的 探讨经口腔前庭入路腔镜甲状腺癌根治术(TOETVA)治疗甲状腺癌的临床效果。方法 选取2022年2月至2024年2月我院收治的90例甲状腺癌患者,按随机数字表法分为两组,各45例。对照组行开放手术治疗,观察组行TOETVA治疗。比较两组手术情况、疼痛评分、甲状旁腺功能、炎症因子水平、生活质量及并发症。结果 观察组手术时间较对照组常,术中出血量少于对照组,开始进食、颈部活动及住院时间较对照组短,统计学有差异(P<0。05);观察组术后6h、24h时疼痛评分低于对照组,统计学有差异(P<0。05);观察组术后PTH、血钙水平高于对照组,统计学有差异(P<0。05);观察组术后炎症因子水平低于对照组,统计学有差异(P<0。05);观察组术后生活质量评分高于对照组,统计学有差异(P<0。05);两组并发症相当(P>0。05)。结论 TOETVA治疗甲状腺癌效果更佳,可减轻手术创伤,减小对甲状旁腺功能的损害,利于改善患者生活质量,安全可靠。
Clinical Effect of Radical Thyroid Cancer Treatment in Patients with Thyroid Cancer by Oral Vestibule Approach
Objective To investigate the clinical effect of radical resection(TOETVA)for thyroid cancer in the treatment of thyroid cancer.Methods 90 thyroid cancer patients admitted to our hospital from February 2022 to February 2024 were selected and divided into two groups with 45 cases each.The control group underwent open surgery,and the observation group underwent TOETVA treatment.Surgical status,pain scores,parathyroid function,inflammatory factor level,quality of life,and complications were compared between the two groups.Results The operation time of the observation group was compared with the control group,Less intraoperative blood loss than that in the control group,Start of feeding,neck mobilization and shorter hospitalization than controls,Statistical difference(P<0.05).The observation group had lower pain scores at 6h and 24h after surgery than the control group,Statistical difference(P<0.05).The postoperative PTH and blood calcium levels in the observation group were higher than those in the control group,Statistical difference(P<0.05).The postoperative levels of inflammatory factors in the observation group were lower than those in the control group,Statistical difference(P<0.05).Higher postoperative QOL scores in the observation group than in the control group,Statistical difference(P<0.05).Complications were comparable in the two groups(P>0.05).Conclusion TOETVA The treatment of thyroid cancer is better,can reduce surgical trauma,reduce the damage to parathyroid function,conducive to improve the quality of life of patients,safe and reliable.

Thyroid CancerOral Vestibular ApproachEndoscopic Radical Thyroid CancerParathyroid Function

汲权威、王新征

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河南科技大学第一附属医院甲状腺外科(河南洛阳 471000)

甲状腺癌 经口腔前庭入路 腔镜甲状腺癌根治术 甲状旁腺功能

2025

罕少疾病杂志
深圳市卫生局

罕少疾病杂志

影响因子:0.583
ISSN:1009-3257
年,卷(期):2025.32(1)