Abstract:
Objective To analyze the clinical value of sternocleidomastoid intermuscular approach in hashimoto’s disease with papillary thyroid carcinoma.
Methods The clinical data of 71 cases of hashimoto’s disease complicated with papillary thyroid cancer admitted from January 2017 to February 2021 were retrospectively analyzed. According to the different surgical methods，they were divided into two groups. Group A（n=35）underwent sternocleidomastoid approach，and Group B（n=36）underwent thyroid surgery via cervical white line approach. SPSS 22.0 software was used for statistical data，perioperative indicators and visual analog scale（VAS）scores were expressed as（
±s），and independent
t test was used. Post-operative complications were counted by
χ2 test，and
rank sum test was used to investigate the aesthetics of incision 3 months after operation.
P<0.05 was considered statistically significant.
Results Thyroid exposure time and intraoperative blood loss in group A were lower than those in group B（P<0.05）. The incidence of neck tightness，swallowing discomfort and VAS score at each postoperative point in Group A were lower than those in Group B（P<0.05）. The satisfaction of incision in group A was 87.1% 3 months after operation，which was higher than that in group B（54.6%，P<0.05）.
Conclusion Sternocleidomastoid intermuscular approach in the treatment of hashimoto's disease complicated with papillary thyroid cancer can shorten the exposure time of thyroid gland，reduce the amount of blood loss，reduce the incidence of postoperative discomfort and pain，and has a higher incision aesthetic.
Key words:
Adenocarcinoma，papillary,
Thyroid neoplasms,
Hashimoto disease,
Sternocleidomastoid muscle,
Surgical approach
Wei Chen, Jun Qiu, Zhigui Li, Feng Zhu, Guohua Tang, Tianliang Li. Clinical application of sternocleidomastoid intermuscular approach in hashimoto’s disease with papillary thyroid carcinoma[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(04): 447-450.