Department of Abdominal, Endocrine and Vascular Surgery, St. Vincentius Kliniken, Südendstraße 32, 76137 Karlsruhe, Germany.
World J Surg. 2012 Jun;36(6):1279-85. doi: 10.1007/s00268-012-1563-7.
Minimally invasive techniques, such as laparoscopic appendectomy or minimally invasive thyroid surgery, are thought to produce better cosmetic results. However, cosmesis in thyroid surgery was rarely investigated using a standardized approach. The objectives of this study were to evaluate body image and cosmesis in patients who had either minimally invasive (MI) or conventional open (CO) thyroid surgery.
Two hundred fifty patients of 540 participated (46.3 %): 50 patients (20.0 %) had MI thyroid surgery and 200 (80.0 %) had CO thyroid surgery. The patients filled out a body image questionnaire that investigated body image, cosmesis, and self-confidence. SPSS 19.0 software was used for statistical analysis.
Although the mean incision size was significantly shorter in the MI group than in the CO group (2.8 vs. 3.5 cm), the mean scores from the body image questionnaire (body image score, cosmetic score, and self-confidence score) were similar for both groups (p > 0.05). No significant differences in postoperative complications were observed in these groups (p > 0.05).
Studies in the literature that evaluate body image and cosmesis in thyroid surgery using standardized methods are scarce. In our department, the results of a questionnaire showed that the MI approach has no advantage for body image and cosmesis over the CO approach. Further prospective randomized studies using different tools with a larger sample size are needed to investigate the use of MI procedures for thyroid surgery.
微创技术，如腹腔镜阑尾切除术或微创甲状腺手术，被认为能产生更好的美容效果。然而，甲状腺手术的美容效果很少用标准化的方法进行研究。本研究的目的是评估微创（MI）或传统开放（CO）甲状腺手术后患者的体像和美容效果。
共有 540 名患者中的 250 名（46.3%）参与了研究：50 名患者（20.0%）接受 MI 甲状腺手术，200 名患者（80.0%）接受 CO 甲状腺手术。患者填写了一份体像问卷，调查体像、美容效果和自信心。使用 SPSS 19.0 软件进行统计分析。
尽管 MI 组的平均切口大小明显短于 CO 组（2.8 厘米对 3.5 厘米），但两组的体像问卷平均评分（体像评分、美容评分和自信心评分）相似（p>0.05）。两组术后并发症无显著差异（p>0.05）。
使用标准化方法评估甲状腺手术体像和美容效果的文献研究很少。在我们科室，问卷调查结果显示，MI 方法在体像和美容效果方面并不优于 CO 方法。需要进一步进行前瞻性随机研究，使用不同的工具和更大的样本量来研究 MI 手术在甲状腺手术中的应用。
