Comparative analysis of clinical indexes after endoscopic thyroid surgery by submental single aperture approach and axillary approach
颏下单孔入路与腋窝入路腔镜甲状腺手术术后临床指标对比分析

摘要

目的 比较经颏下单孔免充气入路和经腋窝入路腔镜下甲状腺手术疗效，分析经颏下入路腔镜下甲状腺切除术的优势。方法 回顾性总结2021年7月至2022年2月于中国科学技术大学附属第一医院甲状腺乳腺外科接受腔镜下甲状腺手术的120例患者临床资料，并根据手术入路分为经颏下单孔免充气组（观察组）和经腋窝入路组（对照组），比较两组患者的手术时间、术后引流量、住院时间。结果 观察组的平均手术时间明显长于对照组（p＜0.01），平均引流量、平均术后住院时间明显少于对照组( P ＜0.05)。结论 经颏下单孔免充气入路腔镜下甲状腺手术作为一种新的手术方式可以满足患者的美容需求，能够有效减轻患者术后疼痛，加快患者康复，值得临床推广。

Abstract

Objective To compare the efficacy of endoscopic thyroidectomy through submental single hole and axillary approach, and to analyze the advantages of endoscopic thyroidectomy through submental approach.
Methods The clinical data of 120 patients who underwent endoscopic thyroid surgery in the Department of Thyroid and Breast Surgery, The First Affiliated Hospital of University of Science and Technology of China from July 2021 to February 2022 were retrospectively summarized. According to the surgical approach, they were divided into two groups: submental single aperture non-inflating group (observation group) and axillary approach group (control group). The operation time, postoperative drainage volume and hospital stay of the two groups were compared.
Results The average operation time of the observation group was significantly longer than that of the control group (p < 0.01), and the average drainage volume and average postoperative hospital stay were significantly less than that of the control group (P < 0.05).
Conclusion   As a new surgical method, endoscopic thyroid surgery through submental single hole non-inflatable approach can meet the cosmetic needs of patients, effectively reduce postoperative pain and accelerate recovery of patients, and is worthy of clinical promotion.