在透口内镜甲状腺切除术后,下巴和下唇的感觉变化
Ken Woo1, Dong Kun Lee2, Phil Sang Chung3
1Department of Molecular, Cell, and Developmental Biology, University of California, Los Angeles, CA, USA.
Surgical endoscopy
|December 1, 2025
概括
透口内镜甲状腺切除术提供了美容上的好处,但可能会导致暂时的下巴和唇部麻木. 感官障碍通常在两个月内消失,支持其作为一种安全,无痕的甲状腺手术替代品.
科学领域:
- 内分泌学 在内分泌学.
- 手术创新 在外科创新.
- 神经外科 神经外科
背景情况:
- 最少侵入性甲状腺手术旨在获得美容优势,但存在精神神经损伤的风险.
- 透口内镜甲状腺切除术 (TET) 是一种无痕的方法,有可能导致暂时的感官变化.
研究的目的:
- 评估经过横口内镜甲状腺切除术后精神神经感官障碍的发生率和持续时间.
- 为了比较TET和传统的穿皮甲状腺切除术之间的感觉结果.
主要方法:
- 一项前性观察性研究,涉及37名接受TET治疗的患者和40名接受常规甲状腺切除术的对照患者.
- 在手术前和手术后的1周,1个月和2个月使用单丝评估器量化下巴和下唇的感觉.
- 每隔1毫米的时间评估感觉缺陷区域.
主要成果:
- 所有37名TET患者在术后立即经历过渡性感官障碍.
- 与1周相比,TET患者的感觉缺陷区域显著减少1个月和2个月 (p=0.028).
- 在传统甲状腺切除组中没有观察到任何感官变化.
结论:
- 透口内镜甲状腺切除术诱导了早期的,短暂的感觉障碍,这些障碍在2个月后改善或消失.
- 甲状腺切除术是比传统甲状腺切除术更优越和安全的替代方案,长期的精神神经损伤最小.
- 在TET中定义的安全区将精神神经完整性的风险降至最低.
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