负压创面治疗在经胸乳入路腔镜甲状腺切除术中的应用研究

Clinical study of negative pressure wound therapy in endoscopic thyroidectomy via chest-breast approach

摘要:

目的 研究负压创面治疗（NPWT）防治经胸乳入路腔镜甲状腺切除术（ETE）后腔道并发症的效果。方法 选取2020年6月－2021年9月在该院住院行经胸乳入路ETE的患者48例，采用随机数表法分为治疗组（NPWT组）和对照组（常规加压包扎组），每组24例。比较两组患者手术时间、术中出血量、术后引流量、术后住院天数、手术并发症和腔道并发症发生率。结果 两组患者手术时间、术中出血量和手术并发症比较，差异均无统计学意义（P > 0.05）。治疗组术后引流量少于对照组，术后住院时间短于对照组，腔道皮下积液发生率低于对照组，两组患者比较，差异均有统计学意义（P < 0.05）。结论 NPWT可以明显降低经胸乳入路ETE术后腔道皮下积液的发生率，有利于患者术后快速康复。

Abstract:

Objective To study the effect of negative pressure wound therapy (NPWT) on the prevention and treatment of orifice complications after endoscopic thyroidectomy (ETE) through chest-breast approach.Methods From June 2020 to September 2021, 48 patients underwent ETE were randomly divided into treatment group (NPWT group) and control group (traditional compression group) with 24 cases in each group. The operation time, intraoperative blood loss, postoperative drainage volume, length of postoperative hospitalization, and the incidence of operation and orifice complications between the two groups were compared.Results There were no statistically significant differences in the operation time, intraoperative blood loss and the incidence of operation complications between the two groups (P > 0.05). The postoperative drainage volume of the treatment group was less than that of the control group, the postoperative hospital stay was shorter than that of the control group, and the incidence of subcutaneous cavity effusion was lower than that of the control group, and the differences between the two groups were statistically significant (P < 0.05).Conclusion NPWT can obviously reduce the incidence of subcutaneous cavity effusion of ETE with chest-breast approach, moreover, it was beneficial to patients’ rapid recovery after surgery.