摘要
目的比较“低位领”式与“L”型切口淋巴结清扫术治疗甲状腺癌的临床效果。方法选取80例甲状腺癌患者,按随机数字表法分为2组,各40例。对照组采取“L”型切口淋巴结清扫术,观察组施行“低位领”式淋巴结清扫术,观察至术后3个月。对比2组手术相关指标、切口满意度、颈肩部疼痛程度与心理状态、生活质量、并发症。结果观察组术中出血量[(40.53±4.26)ml]少于对照组[(58.75±6.31)ml],手术时间[(118.79±10.53)min]与住院时间[(6.35±1.03)d]短于对照组[(146.35±12.69)min、(9.42±1.69)d],切口满意度[95.00%(38/40)]高于对照组[80.00%(32/40)],视觉模拟疼痛评估量表(VAS)评分[(3.56±0.48)分]与焦虑自评量表(SAS)评分[(39.46±4.33)分]、抑郁自评量表(SDS)评分[(40.63±5.20)分]低于对照组[(5.23±0.79)分、(47.53±6.36)分、(48.56±6.48)分],有统计学差异(P<0.05)。术后3个月,观察组生活质量综合评定问卷(GQOLI-74)内各维度评分[(80.38±3.75)分、(79.28±3.86)分、(80.63±4.01)分、(81.43±4.10)分]均高于对照组[(71.26±3.29)分、(70.56±3.49)分、(72.31±3.59)分、(71.31±3.50)分],有统计学差异(P<0.05)。2组并发症相比,差异无统计学意义(P>0.05)。结论与“L”型切口相比,“低位领”式淋巴结清扫术治疗甲状腺癌效果更佳,术中出血量更少,手术及术后住院时间更短,并能够减轻患者颈肩部疼痛,改善心理状态及生活质量,且无严重并发症。
Objective To compare the clinical efficacy of"low collar"and"L"incision lymph node dissection in the treatment of thyroid cancer.Methods 80 patients with thyroid cancer were selected and randomly divided into 2 groups,each with 40 cases.The control group underwent"L"incision lymph node dissection,while the observation group underwent"low collar"lymph node dissection until 3 months after surgery.Compared the surgical related indicators,incision satisfaction,degree of neck and shoulder pain,psychological status,quality of life,and complications between the 2 groups.Results The intraoperative bleeding volume in the observation group[(40.53±4.26)ml]was lower than that in the control group[(58.75±6.31)ml],and the surgical time[(118.79±10.53)min]and hospital stay[(6.35±1.03)d]were shorter than those in the control group[(146.35±12.69)min,(9.42±1.69)d].The incision satisfaction[95.00%(38/40)]was higher than that in the control group[80.00%(32/40)],The score of the Visual Analog Pain Assessment Scale(VAS)[(3.56±0.48)points],the Self Rating Anxiety Scale(SAS)score[(39.46±4.33)points],and the Self Rating Depression Scale(SDS)score[40.63±5.20)points]were lower than those of the control group[(5.23±0.79)points,(47.53±6.36)points,and(48.56±6.48)points],with statistical differences(P<0.05).After 3 months of surgery,the scores of various dimensions in the GQOLI-74 Comprehensive Quality of Life Assessment Questionnaire(GQOLI-74)in the observation group[(80.38±3.75)points,(79.28±3.86)points,(80.63±4.01)points,(81.43±4.10)points]were higher than those in the control group[(71.26±3.29)points,(70.56±3.49)points,(72.31±3.59)points,(71.31±3.50)points],with statistical differences(P<0.05).There was no statistically significant difference in complications between the 2 groups(P>0.05).Conclusion Compared with the"L"incision,the"low collar"lymph node dissection surgery has a better effect on the treatment of thyroid cancer,with less intraoperative bleeding,shorter surgical and postoperative hospital stay,and can alleviate neck and shoulder pain,improve psychological status and quality of life,without serious complications.
作者
李旭
张建辉
买文洁
叶晓红
LI Xu;ZHANG Jianhui;MAI Wenjie(Zhengzhou Second People's Hospital,Zhengzhou,450000)
出处
《实用癌症杂志》
2024年第4期554-557,共4页
The Practical Journal of Cancer
