Effect of Endoscopic Surgery Via Oral Vestibular Approach and Neck Low Collar Incision Surgery in the Treatment of Benign Thyroid Tumors

GAO Guide; TU Xingfeng

doi:10.14033/j.cnki.cfmr.2023.35.006

Abstract：Objective:To compare the clinical effects of endoscopic surgery via oral vestibular approach and neck low collar incision surgery in the treatment of benign thyroid tumors.Method:A total of 70 patients with benign thyroid tumors admitted to the Second Hospital of Longyan from January 2021 to October 2022 were selected and divided into control group and study group according to random number table method,with 35 patients in each group.The control group was treated with neck low collar incision surgery,and the study group was treated with endoscopic surgery via oral vestibular approach.The clinical treatment effect,scar appearance satisfaction,perioperative indexes,postoperative pain and complications were compared between the two groups.Result:There was no significant difference in the total effective rate between the two groups(P>0.05).The wound healing time of the study group was shorter than that of the control group,the scar width was smaller than that of the control group,and the scar appearance satisfaction score was higher than that of the control group,the differences were statistically significant(P<0.05).The operation time of the study group was longer than that of the control group,the hospitalization time was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,and the numeric rating scale(NRS)score was lower than that of the control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:In the clinical treatment of benign thyroid tumors,compared with neck low collar incision surgery,endoscopic surgery via oral vestibular approach can significantly improve patients'satisfaction with scar appearance,relieve postoperative pain,and reduce postoperative complications.