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评估并比较口腔鳞状细胞癌患者采用科罗拉多微解剖针、手术刀片和切割电灼术进行颈部皮肤清扫切口的效果:一项前瞻性研究。

To assess and compare the outcomes of the cutaneous neck dissection incision taken by colorado microdissection needle, surgical blade and cutting electrocautery in patients with oral squamous cell carcinoma: A prospective study.

作者信息

Mishra Priyatam, Bhola Nitin, Agarwal Anchal, Mathur Mrinalini, Pillai Saurabh, Chakraborty Raj K, Kangloo Shubhanshi

机构信息

Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College, Wardha, Maharashtra, India.

出版信息

Natl J Maxillofac Surg. 2024 May-Aug;15(2):233-238. doi: 10.4103/njms.njms_194_22. Epub 2024 Jul 24.

Abstract

AIM

To assess and compare the outcomes of the cutaneous neck dissection incisions taken by Colorado microdissection needle, surgical blade and cutting electrocautery in patients with oral squamous cell carcinoma.

MATERIALS AND METHODS

A prospective, randomized control, comparative study was carried out on 21 patients. These patients were divided into 3 groups containing 7 patients in each group. The intra operative and post operative outcomes were evaluated. Statistical analysis was done by using descriptive and inferential statistics using Chisquare test, Fisher's Exact Test, one way ANOVA and multiple comparison Tukey Test and software used in the analysis were SPSS 27.0 version and GraphPad Prism 7.0 version and < 0.05 is considered as level of significance.

RESULTS

The time taken for placing cutaneous skin incision and blood loss was more in the surgical blade group as compared to the Colorado microdissection needle and electrocautery. Statistically no significant difference between the three group while comparing the cutaneous neck incision healing and post operative scar formation.

CONCLUSION

This study proves the superiority of the Colorado microdissection needle in terms of time taken and blood loss with similar aesthetic outcome in terms of cutaneous wound healing and post operative scar formation when compared to surgical blade and cutting electrocautery.

摘要

目的

评估并比较口腔鳞状细胞癌患者采用科罗拉多微解剖针、手术刀和切割电灼术进行颈部皮肤切口的效果。

材料与方法

对21例患者进行前瞻性、随机对照、比较性研究。这些患者被分为3组,每组7例。评估术中及术后结果。采用卡方检验、Fisher精确检验、单因素方差分析和多重比较Tukey检验进行描述性和推断性统计分析,分析中使用的软件为SPSS 27.0版和GraphPad Prism 7.0版,P<0.05被视为显著性水平。

结果

与科罗拉多微解剖针和电灼术相比,手术刀组进行颈部皮肤切口的时间和失血量更多。在比较颈部皮肤切口愈合和术后瘢痕形成时,三组之间在统计学上无显著差异。

结论

本研究证明,与手术刀和切割电灼术相比,科罗拉多微解剖针在时间和失血量方面具有优势,在皮肤伤口愈合和术后瘢痕形成方面具有相似的美学效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1261/11371293/7c171f467205/NJMS-15-233-g001.jpg

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