皮下分离区域对内镜甲状腺切除术相关的侵袭性影响较小。
Subcutaneous dissection area contributes less to endoscopic thyroidectomy-related invasiveness.
作者信息
Zhang Wei, Wu Qing-Hua, Jiang Zhi-Guo, Qiu Ming
机构信息
Department of General Surgery of Changzheng Hospital Affiliated to Second Military Medical University, No. 415 Fengyang road, Shanghai, 200003, China.
Department of General Surgery of General Hospital of Shanghai Division of Chinese People's Armed Police, Shanghai, 200062, China.
出版信息
Surg Endosc. 2016 Oct;30(10):4272-8. doi: 10.1007/s00464-015-4742-4. Epub 2016 Jan 7.
OBJECTIVE
To clarify the contribution of the subcutaneous area during breast approach endoscopic thyroidectomy (BAET), with regard to invasiveness-related outcomes.
METHODS
Seventy-two patients were randomly assigned to two groups: standard dissection and limited dissection. Postoperative pain and inflammatory response were compared between groups.
RESULTS
The groups were well matched except for subcutaneous dissection area (137.11 ± 21.10 vs. 83.69 ± 12.10 cm(2), p < 0.0001). No significant difference was found with regard to VAS score and postoperative inflammatory response.
CONCLUSION
Our RCT indicated that the subcutaneous area plays a less important role with regard to BAET-related postoperative pain.
目的
明确在经乳晕入路内镜甲状腺切除术（BAET）中，皮下区域对与侵袭性相关结局的影响。
方法
72例患者被随机分为两组：标准解剖组和有限解剖组。比较两组术后疼痛和炎症反应情况。
结果
除皮下解剖面积外（137.11±21.10 vs. 83.69±12.10 cm²，p<0.0001），两组匹配良好。视觉模拟评分（VAS）及术后炎症反应方面未发现显著差异。
结论
我们的随机对照试验表明，皮下区域在BAET相关术后疼痛方面作用较小。
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