Lee Kwan Ho, Kim Eun Young, Park Chan Heun, Park Yong Lai, Yun Ji Sup, Lee Ga Young
Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Department of Dermatology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Ann Surg Treat Res. 2017 Nov;93(5):231-239. doi: 10.4174/astr.2017.93.5.231. Epub 2017 Oct 27.
The incidence of thyroid cancer is relatively high, especially in young women, and postoperative scarring after thyroidectomy is an important problem for both patients and clinicians. Currently, there is no available product that can be used for wound protection during thyroid surgery. We used the EASY-EYE_C, a new silicone-based wound protector.
We conducted a double-blind randomized controlled trial to assess the efficacy of the EASY-EYE_C with surgical scars. We studied 66 patients who underwent conventional total thyroidectomy or hemithyroidectomy performed by a single surgeon from August 2015 to June 2016. At 6-week follow-up, a single blinded physician observed the wounds to make clinical assessments using the Patient and Observer Scar Assessment Scale (POSAS), the Vancouver Scar Scale (VSS), and a modified Stony Brook Scar Evaluation Scale (SBSES).
There were no significant differences by sex, age, type of surgery, body mass index, length of wound, incision site (from sternal notch), or thyroid weight, but the duration of operation was significantly shorter in the experimental group (E group). The e-group also had better POSAS scores than the control group (C group), with means of 43.2 (standard deviation [SD], ±15.9) versus 68.3 (SD, ±21.5), respectively (P < 0.05). The modified SBSES and VSS scores were similar to those from the POSAS.
In this study, all scores for evaluating outcomes were higher in the E group than in the C group. In addition, the operation time was significantly shorter in the E group. Therefore, the EASY-EYE_C may be useful for improving the cosmetic outcomes of conventional thyroid surgery.
甲状腺癌的发病率相对较高，尤其是在年轻女性中，甲状腺切除术后的瘢痕形成对患者和临床医生来说都是一个重要问题。目前，尚无可用于甲状腺手术期间伤口保护的产品。我们使用了新型硅基伤口保护器EASY-EYE_C。
我们进行了一项双盲随机对照试验，以评估EASY-EYE_C对手术瘢痕的疗效。我们研究了2015年8月至2016年6月由一名外科医生进行传统全甲状腺切除术或半甲状腺切除术的66例患者。在6周的随访中，一名单盲医生观察伤口，使用患者和观察者瘢痕评估量表（POSAS）、温哥华瘢痕量表（VSS）和改良的石溪瘢痕评估量表（SBSES）进行临床评估。
在性别、年龄、手术类型、体重指数、伤口长度、切口部位（从胸骨切迹算起）或甲状腺重量方面无显著差异，但实验组（E组）的手术时间明显更短。E组的POSAS评分也优于对照组（C组），均值分别为43.2（标准差[SD]，±15.9）和68.3（SD，±21.5）（P<0.05）。改良的SBSES和VSS评分与POSAS评分相似。
在本研究中，E组评估结果的所有评分均高于C组。此外，E组的手术时间明显更短。因此，EASY-EYE_C可能有助于改善传统甲状腺手术的美容效果。
