Jasaitis Kristijonas, Maleckas Almantas, Marcinkevičienė Virginija, Daukšienė Dalia, Krasauskas Virgilijus, Aleksaitė Akvilė, Grikytė Ieva, Daukša Albertas
Department of Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Department of Preventive Medicine, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Wideochir Inne Tech Maloinwazyjne. 2023 Jun;18(2):264-271. doi: 10.5114/wiitm.2023.126447. Epub 2023 Apr 6.
Endoscopic transaxillary gasless hemithyroidectomy (TAH) is one of several different hemithyroidectomy approaches. TAH has the advantage of better cosmesis compared to open surgery, although we have a lack of information about patient health-related quality of life (HRQOL) after TAH.
To evaluate HRQOL after TAH.
The prospective clinical study involved 40 patients who underwent TAH. Patient demographic and clinical data were collected. Patients completed the Short-Form 36 Health Survey (SF-36) before surgery, and at 1 and 6 months after surgery. Patients were followed up at an outpatient clinic for a check-up and postoperative evaluation. Patient HRQOL preoperative scores were compared with the general population.
All patients were female, with a median age of 32 years and median body mass index of 23 kg/m. The overall complication rate was 12.5%. According to the SF-36, patient HRQOL 1 month after TAH decreased in role physical (RP) and bodily pain (BP) scores (p < 0.05). RP and BP scores reached the preoperative level 6 months after surgery. Patients' role emotional score 6 months after surgery was higher than before surgery (78.94 ±34.16 vs. 93.38 ±19.24; p < 0.05). Role physical, general health, physical functioning and vitality scores were changed (p < 0.05) 1 month after surgery in patients with different pathological examination results, lobe weight, lobe volume and postoperative complications.
Patient HRQOL scores are higher 6 months after TAH than before surgery. Thyroiditis in pathological examination, resected lobe weight and volume, postoperative complications have significance to postoperative HRQOL scores.
内镜经腋窝无气腔甲状腺半切术（TAH）是几种不同的甲状腺半切术式之一。与开放手术相比，TAH具有更好的美容效果，尽管我们缺乏关于TAH术后患者健康相关生活质量（HRQOL）的信息。
评估TAH术后的HRQOL。
这项前瞻性临床研究纳入了40例行TAH的患者。收集了患者的人口统计学和临床数据。患者在手术前、术后1个月和6个月完成了36项简短健康调查（SF-36）。患者在门诊接受随访以进行检查和术后评估。将患者术前的HRQOL评分与一般人群进行比较。
所有患者均为女性，中位年龄32岁，中位体重指数23kg/m²。总体并发症发生率为12.5%。根据SF-36，TAH术后1个月患者的HRQOL在角色身体（RP）和身体疼痛（BP）评分方面有所下降（p<0.05）。RP和BP评分在术后6个月达到术前水平。术后6个月患者的角色情绪评分高于术前（78.94±34.16 vs. 93.38±19.24；p<0.05）。不同病理检查结果、叶重量、叶体积和术后并发症的患者术后1个月时，角色身体、总体健康、身体功能和活力评分发生了变化（p<0.05）。
TAH术后6个月患者的HRQOL评分高于术前。病理检查中的甲状腺炎、切除叶的重量和体积、术后并发症对术后HRQOL评分有影响。
