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目的观察低位弧形切口在甲状腺乳头状癌颈部淋巴结转移患者术中的应用效果。方法选择2014年1月—2016年12月收治的甲状腺乳头状癌颈部淋巴结转移患者88例,随机分为对照组与观察组各44例。两组均行选择性淋巴结清扫术,观察者采用低位弧形切口,对照组采用“L”型切口。对比两组手术时间、淋巴结清扫数量;采用改良温哥华瘢痕量表(Vancouver scar scale,VSS)评价患者术后生存质量。手术时间、淋巴结清扫数量VSS用±s表示,比较采用t检验。P<0.05为差异有统计学意义。结果观察组手术时间[(117.60±30.82)min]少于对照组[(189.51±39.46)min],两组比较差异有统计学意义(P<0.05);两组淋巴结清扫数量比较差异无统计学意义(P>0.05)。观察组VSS各项评分(除血管分布)及总分[(2.06±0.61)、(2.02±0.34)、(1.95±0.51)、(1.72±0.37)、(10.95±2.06)分]均低于对照组[(3.19±0.73)、(2.60±0.53)、(2.87±0.70)、(2.70±0.65)、(15.03±4.11)分],比较差异有统计学意义(均P<0.05)。结论与“L”型切口比较,低位弧形切口可缩短甲状腺乳头状癌颈部淋巴结转移患者手术时间,提高患者术后生存质量。
Objective To observe the effect of low arc incision on the operation of cervical lymph node metastasis of papillary thyroid carcinoma. Methods From January 2014 to December 2016, 88 patients with cervical lymph node metastasis from papillary thyroid carcinoma were randomly divided into control group and observation group, 44 cases each. Both groups underwent selective lymph node dissection, the observer using low arc incision, the control group using “L ” incision. The operation time and the number of lymph node dissection were compared between the two groups. The Vancouver scar scale (VSS) was used to evaluate the postoperative quality of life. Operation time, the number of lymph node dissection VSS ± s said, using t test. P <0.05 for the difference was statistically significant. Results The operation time in the observation group was significantly lower than that in the control group [(117.60 ± 30.82) min [(189.51 ± 39.46) min] (P <0.05). There was no significant difference in the number of lymph node dissection between the two groups Significance (P> 0.05). The score of VSS in the observation group (except the blood vessel distribution) and the total score [(2.06 ± 0.61), (2.02 ± 0.34), (1.95 ± 0.51), (1.72 ± 0.37) and (10.95 ± 2.06) There was significant difference between the two groups (all P <0.05). There were significant differences between the two groups (P <0.05). Conclusions Compared with the incision of “L” type, the lower incision can shorten the operation time of patients with cervical lymph node metastasis of papillary thyroid carcinoma and improve the postoperative quality of life.