Comparison of the application effect of preoperative neck tilt angle measurementin thyroid cancer patients undergoing daytime surgery
术前颈后仰角度测定在甲状腺癌日间手术患者中的应用效果对比

摘要

目的 分析术前颈后仰角度测定在甲状腺癌日间手术患者中的应用效果，旨意为相关人员的研究工作提供参考资料。方法 回顾性分析选取2021年6月至2022年3月在西安交通大学第一附属医院日间病房进行手术的甲状腺癌患者80例，分为观察组（n=41）和对照组（n=39），两组均接受甲状腺癌根治术，其中观察组在术前进行颈后仰最大角度的测定，且术中体位摆放时小于测定的最大值，对照组使用传统体位摆放，对比分析2组患者手术时间、术中出血量、术后引流量、甲状腺手术体位综合征（SPNV）发生率以及术后满意度。结果 与对照组相比，试验组手术时间、术中出血量、术后引流量无统计学意义。观察组术后24 h甲状腺手术体位综合征（SPNV）发生率低于对照组，患者满意度也明显高于对照组，具有统计学意义（P<0.05）。结论 术前颈后仰角度测定可明显降低术后24 h甲状腺手术体位综合征（SPNV）发生率，提高患者满意度，可推广于日间手术中使用。

Abstract

Objective To analyze the application effect of preoperative neck tilt angle measurement in thyroid cancer patients undergoing daytime surgery, and to provide reference materials for related personnel's research work.
Methods A retrospective analysis was conducted on 80 thyroid cancer patients who underwent surgery in the daytime ward of the First Affiliated Hospital of Xi'an Jiaotong University from June 2021 to March 2022. They were divided into an observation group (n=41) and a control group (n=39). Both groups underwent radical thyroid cancer surgery. The observation group underwent preoperative measurement of the maximum angle of neck tilt back, and the intraoperative position was less than the measured maximum value. The control group used traditional positioning, Compare and analyze the surgical time, intraoperative bleeding volume, postoperative drainage volume, incidence of thyroid surgery position syndrome (SPNV), and postoperative satisfaction between two groups of patients.
Results Compared with the control group, the experimental group had no statistically significant surgical time, intraoperative blood loss, and postoperative drainage volume. The incidence of thyroid surgery position syndrome (SPNV) in the observation group 24 hours after surgery was lower than that in the control group, and patient satisfaction was significantly higher than that in the control group, with statistical significance (P<0.05).
Conclusion   Preoperative neck tilt angle measurement can significantly reduce the incidence of thyroid surgery position syndrome (SPNV) 24 hours after surgery, improve patient satisfaction, and can be promoted for use in daytime surgery.