Feng Wen, Feng Yuan, Diao Qixian, Zhou Jian
Operation Room, Qingdao Hospital of Traditional Chinese Medicine, Qingdao, Shandong 266000, China.
Department of General Surgery II, Qingdao Hospital of Traditional Chinese Medicine, Qingdao, Shandong 266000, China.
Evid Based Complement Alternat Med. 2022 Jul 11;2022:7794819. doi: 10.1155/2022/7794819. eCollection 2022.
Thyroid tumor is a common thyroid disease, and the incidence of complications after traditional thyroid surgery is high, which seriously affects the prognosis of patients. With the development of minimally invasive techniques, small incision surgery has a positive impact on changing the traditional thyroid surgery treatment. However, the gap between small incision surgery and traditional thyroid surgery is unclear, so this meta-analysis was used to evaluate its application value.
Searching English biomedical databases, including PubMed and Science Network and Chinese major biomedical databases, including CNKI, Wanfang, and Weipu. The keywords of the searched articles are as follows: small incision surgery, traditional thyroid surgery, thyroid tumor treatment, clinical efficacy of thyroid tumor, and surgical treatment, and these keywords are searched individually or in combination to track relevant systematic reviews and literature meta-analysis, and conduct other studies. The retrieval period is from the establishment of the database to January 2022. After extracting the article data, the patients were divided into small incision surgery group and traditional thyroid surgery group due to different intervention methods. The Cochrane risk of bias tool was used to assess the quality of the included literature, and RevMan 5.30 was used for meta-analysis.
A total of 9 articles met the inclusion criteria. There were 369 patients with small incision surgery and 364 patients with traditional thyroid surgery. Compared with traditional thyroid surgery, patients treated with small incision surgery had significant short hospitalization time (MD -2.72, 95% CI (-3.32, -2.12)), less amount of bleeding (MD -15.52, 95% CI (-20.40, -10.65)), short incision length (MD -12.73, 95% CI (-16.29, -9.17)), lower VAS score (MD -2.58, 95% CI (-4.08, -1.08)), and less complications (RR 0.30, 95% CI (0.21, 0.44)).
Compared with traditional thyroid surgery, the results show that small incision surgery can shorten the hospital stay of patients with thyroid tumor, reduce the length of incision, reduce the amount of bleeding and the occurrence of complications, reduce postoperative pain, and have a positive effect on postoperative survival of patients.
甲状腺肿瘤是一种常见的甲状腺疾病，传统甲状腺手术后并发症发生率较高，严重影响患者预后。随着微创技术的发展，小切口手术对改变传统甲状腺手术治疗方式具有积极影响。然而，小切口手术与传统甲状腺手术之间的差距尚不清楚，因此本荟萃分析旨在评估其应用价值。
检索英文生物医学数据库，包括PubMed和科学网，以及中文主要生物医学数据库，包括中国知网、万方和维普。检索文章的关键词如下：小切口手术、传统甲状腺手术、甲状腺肿瘤治疗、甲状腺肿瘤的临床疗效和手术治疗，这些关键词单独或组合检索，以追踪相关的系统评价和文献荟萃分析，并开展其他研究。检索期为从数据库建立至2022年1月。提取文章数据后，根据不同的干预方法将患者分为小切口手术组和传统甲状腺手术组。使用Cochrane偏倚风险工具评估纳入文献的质量，并使用RevMan 5.30进行荟萃分析。
共有9篇文章符合纳入标准。小切口手术患者369例，传统甲状腺手术患者364例。与传统甲状腺手术相比，接受小切口手术治疗的患者住院时间显著缩短（MD -2.72，95%CI（-3.32，-2.12）），出血量更少（MD -15.52，95%CI（-20.40，-10.65）），切口长度短（MD -12.73，95%CI（-16.29，-9.17）），视觉模拟评分（VAS）更低（MD -2.58，95%CI（-4.08，-1.08）），并发症更少（RR 0.30，95%CI（0.21，0.44））。
与传统甲状腺手术相比，结果表明小切口手术可缩短甲状腺肿瘤患者的住院时间，减少切口长度，减少出血量和并发症的发生，减轻术后疼痛，对患者术后生存有积极影响。
