Division of Endocrine Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison Wisconsin.
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison Wisconsin.
J Surg Res. 2022 Feb;270:437-443. doi: 10.1016/j.jss.2021.09.041. Epub 2021 Nov 16.
Patients understandably have concerns about thyroidectomy scars. This study aimed to characterize patients' perceptions of their thyroidectomy scar before and up to 1-y after surgery.
Patients with papillary thyroid cancer (n = 83) completed semi-structured interviews before and at 2-wks, 6-Wk, 6-mo, and 1-y post-thyroidectomy. Interviews probed about scar concerns and appearance. Content analysis was used to identify themes.
The majority of participants did not express concerns about scar appearance. When expressed, preoperative concerns often stemmed from previous surgery experiences or unease with neck incisions. Postoperatively, concerns about scar appearance decreased over time throughout the healing period with most patients being satisfied with their scar appearance by 6-mo after surgery.
Patients with papillary thyroid cancer express few concerns about scar thyroidectomy appearance. Surgeons can reassure patients who have preoperative concerns that most patients are satisfied with their scar appearance by 6-mo after surgery.
患者对甲状腺切除术的疤痕表示担忧,这是可以理解的。本研究旨在描述患者在手术前和手术后 1 年内对甲状腺切除术疤痕的看法。
83 例甲状腺乳头状癌患者在术前和术后 2 周、6 周、6 个月和 1 年时完成了半结构式访谈。访谈内容包括对疤痕的关注和外观。采用内容分析法确定主题。
大多数患者对疤痕外观没有表示关注。当表达出来时,术前的担忧往往源于以前的手术经历或对颈部切口的不适。术后,随着愈合期的进行,对疤痕外观的担忧会逐渐减少,大多数患者在术后 6 个月时对自己的疤痕外观感到满意。
甲状腺乳头状癌患者对甲状腺切除术疤痕外观的担忧较少。对于术前有担忧的患者,外科医生可以向他们保证,大多数患者在术后 6 个月时对自己的疤痕外观感到满意。