Kim Seok-Mo, Chun Ki Won, Chang Ho Jin, Kim Bup-Woo, Lee Yong Sang, Chang Hang-Seok, Park Cheong Soo
Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonjuro, Gangnam-gu, Seoul, 135-720, Korea.
Eur Arch Otorhinolaryngol. 2015 Sep;272(9):2433-8. doi: 10.1007/s00405-014-3150-z. Epub 2014 Jul 4.
Postoperative neck cosmesis is a major concern of patients undergoing thyroid surgery. Patients will likely be more satisfied with the long-term cosmetic appearance of smaller than larger thyroidectomy scars. We, therefore, investigated the relationship between scar length following conventional thyroid surgery and patient satisfaction. An anonymous scar-assessment questionnaire was administered to patients who underwent conventional thyroid surgery. The 2,041 patients were asked to rate their satisfaction with their scars on a ten-point Likert scale, with one being very unsatisfied and ten being very satisfied. The mean satisfaction score was significantly lower in the benign condition than in malignancy (6.9 ± 2.5 vs. 7.4 ± 2.5; p = 0.021), whereas there were no differences in satisfaction score among subgroups of patients with benign condition (p = 0.837). In patients with thyroid cancer, the mean satisfaction scores were similar among subgroups according to operation type and scar length (p = 0.820). Incision length was not associated with patient satisfaction in thyroid surgery patients and therefore may not be critical in decision making for thyroid cancer surgery.
术后颈部美观是接受甲状腺手术患者主要关心的问题。相比更大的甲状腺手术疤痕，患者可能对较小疤痕的长期美观效果更满意。因此，我们研究了传统甲状腺手术后疤痕长度与患者满意度之间的关系。我们向接受传统甲状腺手术的患者发放了一份匿名疤痕评估问卷。2041名患者被要求根据10分制的李克特量表对其疤痕满意度进行评分，1分为非常不满意，10分为非常满意。良性疾病患者的平均满意度得分显著低于恶性疾病患者（6.9±2.5对7.4±2.5；p=0.021），而良性疾病患者亚组之间的满意度得分没有差异（p=0.837）。在甲状腺癌患者中，根据手术类型和疤痕长度划分的亚组之间平均满意度得分相似（p=0.820）。切口长度与甲状腺手术患者的满意度无关，因此在甲状腺癌手术决策中可能并非关键因素。
