一项前瞻性研究评估传统开放甲状腺切除术治疗甲状腺癌后颈部疤痕满意度。
A prospective study to assess cervical scar satisfaction following conventional open thyroidectomy for thyroid cancer.
机构信息
Division of Head & Neck, Department of Surgical Oncology, Homi Bhabha National Institute (HBNI), Tata Memorial Centre, Mumbai, India.
Department of Clinical Research, Homi Bhabha National Institute (HBNI), Tata Memorial Centre, Mumbai, India.
出版信息
Eur Arch Otorhinolaryngol. 2024 Aug;281(8):4363-4372. doi: 10.1007/s00405-024-08668-z. Epub 2024 Apr 27.
BACKGROUND
Conventional open thyroidectomy (COT) remains a common method of thyroidectomy in many parts of the world for various reasons.
METHODS
In this prospective (cross-sectional) study, we evaluated the scar satisfaction among patients and surgeons following COT using the Patient and Observer Scar Assessment Scale (POSAS) and the Patient Scar Assessment Questionnaire (PSAQ).
RESULTS
A total of 116 patients were included. The median age of the patients was 44 years and the majority were women. The median scar length overall was 12.2 cm. On POSAS, the median score for surgeon 1 was 1 (range 1-5), for surgeon 2, it was 2 (range 1-6), and for the patient, it was 1 (range 1-6) suggesting good scar satisfaction. The patient's response in the PSAQ was also echoing similar outcomes with scar satisfaction.
CONCLUSIONS
Overall, both the patients and the surgeons seem to be satisfied with the overall scar appearance following COT despite the scar length.
背景
由于各种原因，传统的开放式甲状腺切除术（COT）在世界许多地区仍然是一种常见的甲状腺切除术方法。
方法
在这项前瞻性（横断面）研究中，我们使用患者和观察者瘢痕评估量表（POSAS）和患者瘢痕评估问卷（PSAQ）评估了 COT 后患者和外科医生对瘢痕的满意度。
结果
共纳入 116 例患者。患者的中位年龄为 44 岁，大多数为女性。总体中位数瘢痕长度为 12.2cm。在 POSAS 上，外科医生 1 的中位数评分为 1（范围 1-5），外科医生 2 的中位数评分为 2（范围 1-6），患者的中位数评分为 1（范围 1-6），表明瘢痕满意度良好。PSAQ 中的患者反应也反映了类似的结果，即对瘢痕的满意度。
结论
尽管存在瘢痕长度问题，但患者和外科医生似乎对 COT 后整体瘢痕外观总体满意。
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