Comparison of"Low Collar"and"L"Incision Lymph Node Dissection for Thyroid Cancer
Objective To compare the clinical efficacy of"low collar"and"L"incision lymph node dissection in the treatment of thyroid cancer.Methods 80 patients with thyroid cancer were selected and randomly divided into 2 groups,each with 40 cases.The control group underwent"L"incision lymph node dissection,while the observation group underwent"low col-lar"lymph node dissection until 3 months after surgery.Compared the surgical related indicators,incision satisfaction,degree of neck and shoulder pain,psychological status,quality of life,and complications between the 2 groups.Results The intraoperative bleeding volume in the observation group[(40.53±4.26)ml]was lower than that in the control group[(58.75±6.31)ml],and the surgical time[(118.79±10.53)min]and hospital stay[(6.35±1.03)d]were shorter than those in the control group[(146.35±12.69)min,(9.42±1.69)d].The incision satisfaction[95.00%(38/40)]was higher than that in the control group[80.00%(32/40)],The score of the Visual Analog Pain Assessment Scale(VAS)[(3.56±0.48)points],the Self Rat-ing Anxiety Scale(SAS)score[(39.46±4.33)points],and the Self Rating Depression Scale(SDS)score[40.63±5.20)points]were lower than those of the control group[(5.23±0.79)points,(47.53±6.36)points,and(48.56±6.48)points],with statistical differences(P<0.05).After 3 months of surgery,the scores of various dimensions in the GQOLI-74 Comprehen-sive Quality of Life Assessment Questionnaire(GQOLI-74)in the observation group[(80.38±3.75)points,(79.28±3.86)points,(80.63±4.01)points,(81.43±4.10)points]were higher than those in the control group[(71.26±3.29)points,(70.56±3.49)points,(72.31±3.59)points,(71.31±3.50)points],with statistical differences(P<0.05).There was no sta-tistically significant difference in complications between the 2 groups(P>0.05).Conclusion Compared with the"L"incision,the"low collar"lymph node dissection surgery has a better effect on the treatment of thyroid cancer,with less intraoperative bleeding,shorter surgical and postoperative hospital stay,and can alleviate neck and shoulder pain,improve psychological status and quality of life,without serious complications.
Lymph node dissectionThyroid cancer"Low collar"incision"L"incisionDegree of painComplication
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