免充气锁骨下入路腔镜甲状腺全切除术对PTC患者美容满意度及并发症的影响

doi:10.3969/j.issn.2095-378X.2025.03.013

外科研究与新技术（中英文） ›› 2025, Vol. 14 ›› Issue (3): 257-261.doi: 10.3969/j.issn.2095-378X.2025.03.013

免充气锁骨下入路腔镜甲状腺全切除术对PTC患者美容满意度及并发症的影响

林朝阳, 王岗, 张年庆

蚌埠医科大学第一附属医院肿瘤外科甲乳科,安徽蚌埠 233000

收稿日期:2025-02-11 出版日期:2025-09-28 发布日期:2025-10-17
作者简介:林朝阳(1992—),男,硕士,医师,从事甲状腺乳腺肿瘤临床诊治工作;电子信箱：zhaoyang58043@163.com

Impact of endoscopic thyroidectomy by gasless trans-subclavian approach on cosmetic satisfaction and complications in patients with papillary thyroid carcinoma

LIN Chaoyang, WANG Gang, ZHANG Nianqing

Department of Thyroid and Breast Surgery, Oncology Surgery, The First Affiliated Hospital of Bengbu Medical University, Bengbu 233000, Anhui, China

Received:2025-02-11 Online:2025-09-28 Published:2025-10-17

摘要/Abstract

摘要： 目的探究免充气锁骨下入路腔镜甲状腺全切除术（ETGTA）对甲状腺乳头状癌（PTC）患者美容满意度及并发症的影响。方法选择2022年1月—2024年12月进行诊治的PTC患者80例,其中接受传统开放手术+中央区淋巴结清扫术治疗者纳入对照组（48例）,接受ETGTA+中央区淋巴结清扫术治疗者纳入研究组（32例）。观察两组患者的手术指标、美容满意度和并发症情况。结果相较于对照组,研究组患者的手术时间更长,术后引流量更多、美容满意度评分更高、颈部不适的发生率更低（均P<0.05）。在喉返神经损伤和甲状旁腺功能减退的发生率方面,两组患者之间差异无统计学意义（P>0.05）。结论对于PTC患者的治疗,锁骨下入路腔镜甲状腺全切除术疗效显著,安全性高及美容效果好。

关键词: 免充气, 锁骨下入路, 甲状腺全切除术, 甲状腺乳头状癌

Abstract: Objective To investigate the impact of endoscopic thyroidectomy by gasless trans-subclavian approach （ETGTA） on cosmetic satisfaction and complications in patients with papillary thyroid carcinoma （PTC）. Methods A total of 80 PTC patients diagnosed and treated from January 2022 to December 2024 were selected. Among them,48 patients who underwent traditional open surgery combined with central lymph node dissection were included in the control group, and 32 patients who underwent ETGTA combined with central lymph node dissection were included in the study group. Surgical indicators, cosmetic satisfaction, and complications were observed in both groups. Results Compared with the control group,patients in the study group had longer operative time, greater postoperative drainage volumes, higher cosmetic satisfaction, and a lower incidence of neck discomfort （P<0.05）. No statistically significant differences were observed between the two groups in the incidence of recurrent laryngeal nerve injury and hypoparathyroidism （P>0.05）. Conclusion For PTC patients,ETGTA demonstrates significant efficacy, high safety, and excellent cosmetic outcomes.

Key words: Gasless, Trans-subclavian approach, Thyroidectomy, Papillary thyroid carcinoma

中图分类号:

R736.1

林朝阳, 王岗, 张年庆. 免充气锁骨下入路腔镜甲状腺全切除术对PTC患者美容满意度及并发症的影响[J]. 外科研究与新技术（中英文）, 2025, 14(3): 257-261.

LIN Chaoyang, WANG Gang, ZHANG Nianqing. Impact of endoscopic thyroidectomy by gasless trans-subclavian approach on cosmetic satisfaction and complications in patients with papillary thyroid carcinoma[J]. Surgical Research and New Technique, 2025, 14(3): 257-261.

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免充气锁骨下入路腔镜甲状腺全切除术对PTC患者美容满意度及并发症的影响

Impact of endoscopic thyroidectomy by gasless trans-subclavian approach on cosmetic satisfaction and complications in patients with papillary thyroid carcinoma

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