PDF(Pubmed)
Abstract：
There are no targeted rehabilitation training modalities and assessment tools for patients after transoral endoscopic thyroidectomy vestibular approach (TOETVA). Herein, we develop a new assessment questionnaire and rehabilitation training modality and evaluate its safety and effectiveness. The THYCA-QoL-TOETVA questionnaire was compiled, and reliability and validity analyses were performed. Patients were divided into the new rehabilitation training group (N) or the conventional rehabilitation training group (C), and 1:1 propensity score matching (PSM) was performed after administering questionnaires to patients in both groups. Cervical range of motion (CROM) data were also measured and collected for statistical analysis. The questionnaire used in this study showed good expert authority, coordination, internal consistency, and questionnaire reliability. A total of 476 patients were included after PSM, and the questionnaire results showed that recovery and quality of life were better in the N group than in the C group (124.55 ± 8.171 vs. 122.94 ± 8.366, p = 0.026). Analysis of cervical spine mobility showed that rehabilitation was better in the N group compared to the C group at postoperative one month (flexion: 1.762°, extension: 4.720°, left lateral bending: 3.912°, right lateral bending: 4.061°, left axial rotation: 5.180°, right axial rotation: 5.199°, p value all of these < 0.001), and at postoperative three months (flexion: 2.866°, extension: 2.904°, left lateral bending: 3.927°, right lateral bending: 3.330°, left axial rotation: 4.395°, right axial rotation: 3.992°, p value all of these < 0.001). The THYCA-QoL-TOETVA provides an appropriate and effective tool for measuring the postoperative quality of life of TOETVA patients. This new rehabilitation training can effectively alleviate the problem of limited neck movement and improve the quality of life of patients after TOETVA surgery.Trial registration: ChiCTR2300069097.
摘要：
经口内镜甲状腺前庭入路(TOETVA)切除术后患者没有针对性的康复训练模式和评估工具。在这里，我们开发了新的评估问卷和康复训练模式，并评估其安全性和有效性。编制了THYCA-QoL-TOETVA问卷，并进行信度和效度分析。将患者分为新康复训练组(N)或常规康复训练组(C),在对两组患者进行问卷调查后,进行1:1倾向评分匹配(PSM).还测量并收集了颈椎活动范围（CROM）数据以进行统计分析。本研究使用的问卷显示出良好的专家权威性,协调,内部一致性，和问卷的可靠性。共有476例患者在PSM后被纳入，问卷结果显示，N组的恢复和生活质量优于C组（124.55±8.171vs.122.94±8.366，p=0.026）。颈椎活动度分析显示，术后1个月，N组较C组康复效果更好（屈曲：1.762°，延伸:4.720°,左侧弯曲：3.912°，右侧弯曲:4.061°,左轴向旋转：5.180°，右轴向旋转：5.199°，所有这些P值<0.001)，术后三个月（屈曲：2.866°，延伸：2.904°，左侧弯曲：3.927°，右侧弯曲：3.330°，左轴向旋转：4.395°，右轴向旋转：3.992°，所有这些的p值<0.001)。THYCA-QoL-TOETVA为测量TOETVA患者术后生活质量提供了适当且有效的工具。这种新型康复训练能有效缓解颈部活动受限的问题,提高TOETVA术后患者的生活质量。试用注册：ChiCTR2300069097。
