经胸锁乳突肌肌间入路及经颈白线入路手术治疗单侧甲状腺结节的效果比较

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Abstract Objective To investigate the effect of sternocleidomastoid muscle intermuscular approach and neck white thread approach in the treatment of unilateral thyroid nodules. Methods Eighty patients with unilateral thyroid nodule who admitted to Xinhua Hospital of Xinhua Medical Group from June 2018 to April 2020 were selected as study objects. They were divided into observation group and control group according to the operation method, with 40 cases in each group. Control group was given the treatment through neck white thread approach, and observation group was given the treatment through sternocleidomastoid muscle intermuscular approach. The operation conditions were compared between the two groups, and the pain scores and incidence of complication three months after operation were compared between the two groups. Results There were no statistically significant differences in operation time, hospital stay and intraoperative blood loss between two groups (P > 0.05); the incision length of observation group was shorter than that of control group, and the difference was highly statistically significant (P < 0.01). The pain score of observation group was lower than that of control group, and the difference was highly statistically significant (P < 0.01). The total incidence of postoperative complications in observation group was lower than that in control group, and the difference was statistically significant (P < 0.05). Conclusion Sternocleidomastoid muscle intermuscular approach does not increase the risk of surgery and prolong the hospital stay, and it can reduce the patient’s pain. It has obvious advantages in protecting the function of the anterior neck area of patients, fewer complications, which is worthy of clinical promotion.

Key words： Unilateral thyroid nodule Sternocleidomastoid muscle intermuscular approach Neck white thread approach Incision length Postoperative pain

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CAI Baozhong. Comparison of the effect of sternocleidomastoid muscle intermuscular approach and neck white thread approach in the treatment of unilateral thyroid nodule[J]. 中国医药导报, 2021, 18(9): 73-75,85.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I9/73

[1] 唐国华，邱钧，项本宏，等.胸锁乳突肌内缘入路在单侧甲状腺手术中的应用[J].安徽医药，2017，21（5）：904-906.
[2] Stancioiu F，Mihai D，Papadakis GZ，et al. Treatment for benign thyroid nodules with a combination of natural extracts [J]. Mol Med Rep，2019，20（3）：2332-2338.
[3] 徐淑芠，邢朝晖，黄广涛，等.经胸入路腔镜甲状腺手术与传统手术治疗甲状腺结节的疗效及术后引流液成分的比较[J].腹腔镜外科杂志，2020，25（5）：14-18.
[4] Lytrivi M，Kyrilli A，Burniat A，et al. Thyroid lobectomy is an effective option for unilateral benign nodular disease [J]. Clin Endocrinol（Oxf），2016，85（4）：602-608.
[5] 丘昶儒，李思荣，卢钦荣，等.射频消融术治疗单发良性甲状腺结节的临床疗效[J].标记免疫分析与临床，2018， 6（8）：1204-1207.
[6] 刘建欣.单侧甲状腺结节手术治疗的临床效果分析[J].医药前沿，2017，7（1）：129-130.
[7] 徐昌良，景元明.超声引导下经皮穿刺微波消融治疗在治疗甲状腺结节的临床疗效分析[J].中华全科医学，2017， 25（8）：582-584.
[8] 谭小蕖，钱林学，郑媛媛.甲状腺声晕结节的二维超声及超声造影分析[J].临床和实验医学杂志，2019，18（11）：1227-1230.
[9] 薛明淼，尚梦园，王志化，等.良恶性甲状腺结节的临床特点分析[J].中国医药科学，2020，10（21）：14-17.
[10] 郝少龙，孙海清，刘新承，等.甲状腺乳头状癌胸锁乳突肌-胸骨舌骨肌间淋巴结转移的临床意义[J].中华耳鼻咽喉头颈外科杂志，2017，52（10）：755-759.
[11] 蔡和杰，李智.单侧经胸锁乳突肌内侧缘小切口入路甲状腺手术的临床效果分析[J].中国当代医药，2017，30（11）：32-34.
[12] 沈思平，徐华军，陈文显，等.灰阶超声联合弹性成像在甲状腺结节良恶性鉴别诊断中的应用研究[J].中国现代医生，2019，57（7）：113-116，封3.
[13] 符晓丁，魏琦萍，张丽丽.彩色多普勒超声与二维超声在甲状腺良恶性结节鉴别诊断中的应用价值比较[J].中国当代医药，2019，26（30）：104-106，119.
[14] Bini F，Trimboli P，Marinozzi F，et al. Treatment of benign thyroid nodules by high intensity focused ultrasound （HIFU） at different acoustic powers：a study on in-silico phantom [J]. Endocrine，2018，59（3）：506-509.
[15] 梁程程.甲状腺结节1362例手术治疗临床分析[D].济南：山东大学，2016.
[16] 王平，燕海潮.完全腔镜甲状腺癌手术并发症的防治[J].腹腔镜外科学杂志，2012，17（10）：806-807.
[17] 卢云锋，张勇.胸锁乳突肌内侧缘入路在甲状腺再次手术中的应用分析[J].基层医学论坛，2016，20（26）：3652-3653.
[18] 王宁，吴多佳.单侧甲状腺结节手术的治疗效果研究[J].中国全科医学，2019，22（S2）：120-122.
[19] 李田静，卢瑞刚，郭瑞君.常规高频超声联合超声弹性成像诊断甲状腺良恶性结节的临床价值[J].中国医药导报，2016，24（13）：116-119.
[20] 李晓曦.2016年美国临床内分泌医师协会《甲状腺结节诊断和治疗临床实践医学指南》解读[J].中国实用外科杂志，2017，37（2）：157-161.
[21] 朱峰.经胸锁乳突肌肌间入路行甲状腺手术对颈前区功能保护研究[J].中国实用外科杂志，2020，40（7）：847-850.
[22] Lombardi CP，Raffaelli MD，Alatri L，et al. Voice and swallowing changes after thyroidectomy in patients without inferior Iaryngeal nerve injuries [J]. Surgery，2016， 140（6）：1026-1032.
[23] 张传平，方文成.甲状腺再次手术胸锁乳突肌内侧缘入路与颈白线入路的临床探讨[J].中国现代普通外科进展，2015，18（9）：681-683.
[24] 郭满，张浩，李伟汉，等.经胸锁乳突肌内缘小切口单侧甲状腺手术的临床观察[J].重庆医学，2015，44（35）：5027-5029.
[25] Kakudo K，Higuchi M，Hirokawa M，et al. Thyroid FNA cytology in Asian practice—Active surveillance for indeterminate thyroid nodules reduces overtreatment of thyroid carcinomas [J]. Cytopathology，2017，28（6）：455-466.
[26] 李小毅.2015年美国甲状腺学会《成人甲状腺结节与分化型甲状腺癌诊治指南》解读：外科部分[J].中国癌症杂志，2016，26（1）：13-18.
[27] Agrafiotis AC，Sokolow Y，Ruiz-Patino M，et al. Treatment of solitary thyroid nodules according to size，preoperative fine-needle aspiration cytology and frozen section：a retrospective single centre study [J]. Acta Chir Belg，2019，119（5）：294-302.
[28] 胡蕾，叶磊，隋秀芳.TI-RADS分级，超声弹性应变率及VTQ对诊断甲状腺良恶性结节的价值[J].安徽医科大学学报，2018，53（2）：301-305.
[29] 杨海瑞，段福孝，顾国利，等.全部甲状旁腺切除加胸锁乳突肌内自体移植术治疗继发性甲状旁腺功能亢进症（附45例报道）[J].中国普外基础与临床杂志，2018， 25（3）：354-356.