摘要
目的:探讨甲状腺腺叶切除术中不同喉返神经暴露方法的应用效果。方法:选择2021年5月—2024年5月于龙南市第一人民医院行甲状腺腺叶切除术治疗的80例甲状腺结节患者,以随机数字表法分组。两组患者均行甲状腺腺叶切除术治疗,对照组40例行甲状腺下动脉下方解剖暴露,观察组40例行喉返神经入喉处解剖暴露。比较两组手术相关指标、生活质量(SF-36评分)、满意度及并发症发生情况。结果:两组住院时间、术前生活质量评分比较,差异无统计学意义(P>0.05);观察组并发症发生率低于对照组,术后1个月生活质量评分、总满意度均高于对照组,观察组手术时间(81.09±10.74)min短于对照组的(115.42±16.45)min,术中出血量(32.65±7.22)mL少于对照组的(46.78±11.53)mL,术后24 h疼痛评分(2.09±0.71)分低于对照组的(3.64±1.05)分(P<0.05)。结论:入喉处解剖暴露喉返神经在甲状腺腺叶切除术中应用效果更佳,可缩短操作时间,减少术中出血量,利于降低并发症发生风险,提升患者的生活质量和满意度。
Objective:To explore the application effect of different recurrent laryngeal nerve exposure methods in thyroid lobectomy.Method:A total of 80 patients with thyroid nodules who underwent thyroid lobectomy in Longnan First People's Hospital from May 2021 to May 2024 were selected and divided into two groups using a random number table.Both groups underwent thyroid lobectomy.Forty patients in the control group underwent anatomic exposure below the inferior thyroid artery,and forty patients in the observation group underwent anatomic exposure of recurrent laryngeal nerve into the larynx.Surgery-related indicators,quality of life(SF-36 score),satisfaction and the occurrence of complications were compared between the two groups.Result:There were no significant differences in length of hospital stay and preoperative quality of life scores between the two groups(P>0.05).The incidence of complications in the observation group was lower than that in the control group,and the scores of life quality one month after the operation and total satisfaction were higher than those in the control group,the operation time of the observation group of(81.09±10.74)min was shorter than that of the control group of(115.42±16.45)min,and intraoperative blood loss of(32.65±7.22)mL was less than that of the control group of(46.78±11.53)mL,the pain score 24 hours after the operation of(2.09±0.71)points was lower than that of the control group of(3.64±1.05)points(P<0.05).Conclusion:Anatomical exposure of the recurrent laryngeal nerve at its entry into the larynx has a better application effect in thyroid lobectomy.It can shorten the operation time,reduce intraoperative blood loss,help lower the risk of complications,and improve patients'quality of life and satisfaction.
作者
胡晨波
谢渭林
廖彦宁
HU Chenbo;XIE Weilin;LIAO Yanning(Department of General Surgery,Longnan First People's Hospital,Longnan 341700,China;不详)
出处
《中国医学创新》
2025年第34期5-9,共5页
Medical Innovation of China
基金
赣州市指导性科技计划项目(GZ2021ZSF542)。
关键词
甲状腺腺叶切除术
喉返神经
暴露方法
生活质量
并发症
喉返神经损伤
手术预后
Thyroid lobectomy
Recurrent laryngeal nerve
Exposure methods
Quality of life
Complications
Recurrent laryngeal nerve injury
Surgical prognosis
