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颏下内镜甲状腺切除术与传统甲状腺切除术患者生活质量的比较:一项前瞻性对照临床试验

Comparison of Quality of Life between Patients Undergoing Submental Endoscopic Thyroidectomy and Conventional Thyroidectomy: A Prospective Controlled Clinical Trial.

作者信息

Piromchai Patorn

机构信息

Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.

出版信息

J Clin Med. 2022 Aug 17;11(16):4802. doi: 10.3390/jcm11164802.

DOI:10.3390/jcm11164802
PMID:36013041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9409857/
Abstract

The objectives of this study were to compare the surgical outcomes and quality of life between patients undergoing submental endoscopic thyroidectomy and those undergoing conventional thyroidectomy. The surgical outcomes and quality of life were recorded. Forty-eight patients were included in the study. Their ages ranged from 20 to 60 years. All patients underwent lobectomy, isthmectomy, or the combination of lobectomy and isthmectomy. Most histological diagnoses were benign (85.42%). The submental endoscopic thyroidectomy group showed better scores in the energy/fatigue, emotional wellbeing, and general health domains (p = 0.006, 0.041, and 0.004, respectively). There were no statistically significant differences in surgical outcomes between the submental endoscopic thyroidectomy and conventional thyroidectomy groups (p > 0.05). Submental endoscopic thyroidectomy is feasible, and permits a better quality of life in terms of the energy/fatigue, emotional wellbeing, and general health domains.

摘要

本研究的目的是比较接受颏下内镜甲状腺切除术的患者与接受传统甲状腺切除术的患者的手术结果和生活质量。记录手术结果和生活质量。48例患者纳入本研究。他们的年龄在20至60岁之间。所有患者均接受叶切除术、峡部切除术或叶切除术与峡部切除术联合手术。大多数组织学诊断为良性(85.42%)。颏下内镜甲状腺切除术组在精力/疲劳、情绪健康和总体健康领域的得分更高(分别为p = 0.006、0.041和0.004)。颏下内镜甲状腺切除术组与传统甲状腺切除术组的手术结果无统计学显著差异(p > 0.05)。颏下内镜甲状腺切除术是可行的,并且在精力/疲劳、情绪健康和总体健康领域能带来更好的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d639/9409857/e38a559f9df6/jcm-11-04802-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d639/9409857/e38a559f9df6/jcm-11-04802-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d639/9409857/e38a559f9df6/jcm-11-04802-g001.jpg

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本文引用的文献

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Front Surg. 2020 Nov 23;7:591522. doi: 10.3389/fsurg.2020.591522. eCollection 2020.
2
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Surg Endosc. 2021 Apr;35(4):1796-1800. doi: 10.1007/s00464-020-07576-7. Epub 2020 Apr 27.
3
Endoscopic parathyroidectomy using a three-port submental approach.
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Langenbecks Arch Surg. 2020 Mar;405(2):241-246. doi: 10.1007/s00423-020-01861-8. Epub 2020 Mar 13.
4
Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery.经口内镜甲状腺手术与传统开放手术患者生活质量的比较。
BMC Surg. 2020 Jan 29;20(1):18. doi: 10.1186/s12893-020-0685-3.
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Technical Innovation in Transoral Endoscopic Endocrine Surgery: A Modified "Scarless" Technique.经口内镜下甲状腺手术的技术创新:一种改良的“无痕”技术。
J Surg Res. 2019 Nov;243:123-129. doi: 10.1016/j.jss.2019.05.019. Epub 2019 Jun 4.
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Thyroid. 2018 Oct 26. doi: 10.1089/thy.2018.0388.
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