锁骨上侧方入路在单侧甲状腺乳头状微小癌手术中的临床应用
Clinical Application of Supraclavicular Lateral Approach in Unilateral PTMC Surgery

目的：分析锁骨上侧方入路术式在单侧甲状腺乳头状微小癌手术中的临床应用。方法：选取2021年1月至2021年11月齐齐哈尔市第一医院甲状腺外科治疗组收治的仅行单侧甲状腺乳头状微小癌(PTMC)手术患者60例，随机分为实验组30例：采用锁骨上侧方入路行单侧PTMC切除术；对照组30例：传统颈前弧形入路行单侧PTMC切除术。比较两组术式临床效果研究，包括围手术期的一般情况、手术时间、术中出血量、切口满意度及美观舒适度情况、淋巴结清扫数目、手术前后甲状旁腺激素和血钙水平等方面的差异。探讨锁骨上侧方入路术式在单侧PTMC手术中的临床应用价值。结果：实验组相比于对照组具有良好的切口满意度及美观舒适度，差异具有统计学意义(P < 0.05)，且具有同样手术疗效，同时能明显减少住院时间、手术时间及术中出血量，差异具有统计学意义(P < 0.05)。结论：锁骨上侧方入路术式在单侧PTMC手术中同样具有临床推广价值，其兼具切口美观舒适度及满意度和手术效果的入路方式。
Objective: To analyze the clinical application of the supraclavicular lateral approach in surgery for unilateral PTMC. Methods: A total of 60 patients with unilateral PTMC treated by surgery in the Thyroid Surgery Department of the First Hospital of Qiqihar City from January 2021 to November 2021 were selected, randomly divided into an experimental group of 30 cases: unilateral PTMC resection was performed using the supraclavicular lateral approach; a control group of 30 cases: unilateral PTMC resection was performed using the traditional anterior cervical curved incision approach. The clinical effects of the two surgical approaches were compared, including perioperative general conditions, operation time, intraoperative blood loss, incision satisfaction and aesthetic comfort, number of lymph nodes cleared, and changes in parathyroid hormone and blood calcium levels before and after surgery. The clinical application value of the supraclavicular lateral approach in unilateral PTMC surgery was explored. Results: Compared with the control group, the experimental group had better incision satisfaction and aesthetic comfort, with statistically significant differences (P < 0.05), and had the same surgical efficacy, while also significantly reducing hospital stay, operation time, and intraoperative blood loss, with statistically significant differences (P < 0.05). Conclusion: The supraclavicular lateral approach in unilateral PTMC surgery also has clinical promotion value, with an incision approach that combines aesthetic comfort and satisfaction with surgical outcomes.