Scar perceptions after thyroid and parathyroid surgery: Comparison of minimal and conventional approaches
Scar perceptions after thyroid and parathyroid surgery: Comparison of minimal and conventional approaches
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DOI：
10.1016/j.surg.2012.08.008
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发表时间：
2013-03-01
期刊：
影响因子：
3.8
通讯作者：
Petralias, Athanassios
中科院分区：
文献类型：
--
作者：
Linos, Dimitrios;Economopoulos, Konstantinos P.;Petralias, Athanassios
背景颈部切口长度小于3 cm是微创甲状腺和甲状旁腺切除术区别于传统手术的主要特征。较小的颈部疤痕被认为会产生更好的患者满意度，尽管没有确定的数据支持这一点。在这项分析中，我们评估了接受这两种手术的患者的满意度，同时检查了社会人口统计学和手术特征的影响。我们分析了2000年1月至2010年3月期间接受甲状腺切除术或甲状旁腺切除术的691例患者的数据。我们使用经过验证的患者瘢痕评估问卷（PSAQ），评估了接受传统手术与微创手术的患者的满意度。我们包括外观和意识分量表。总体而言，患者对其颈部瘢痕感到满意，表现为外观（13.3;范围，9 - 31）和意识（8.5;范围，6 - 24）子量表评分较低。满意度随手术时间延长而提高（P
Background. An incision less than 3 cm in length in the neck is the main feature that discriminates the minimally invasive thyroidectomy and parathyroidectomy from traditional procedures. Smaller neck scars are assumed to yield better patient satisfaction, although no established data support this. In this analysis, we evaluated the satisfaction of patients who had undergone both procedures, while examining the effects of sociodemographic and surgical characteristics.Methods. We analyzed data from 691 patients who underwent a thyroidectomy or parathyroidectomy between January 2000 and March 2010. We assessed the satisfaction of patients who underwent conventional compared to minimally invasive procedures, using the validated Patient Scar Assessment Questionnaire (PSAQ). We included both the appearance and the consciousness subscales.Results. Overall, patients were satisfied with their neck scars, as indicated by the low scores in appearance (13.3; range, 9 to 31) and consciousness (8.5; range, 6 to 24) subscales. The degree of satisfaction, improved with increased time since surgery (P