评估和比较口腔鳞状细胞癌患者使用彩色显微切割针、手术刀片和切割电烧进行颈部切开术的效果:一项前瞻性研究。

National journal of maxillofacial surgery Pub Date : 2024-05-01 Epub Date: 2024-07-24 DOI:10.4103/njms.njms_194_22
Priyatam Mishra, Nitin Bhola, Anchal Agarwal, Mrinalini Mathur, Saurabh Pillai, Raj K Chakraborty, Shubhanshi Kangloo
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引用次数: 0

摘要

目的:评估和比较口腔鳞状细胞癌患者采用科罗拉多显微解剖针、手术刀片和切割电烧进行颈部皮肤解剖切口的效果:对 21 名患者进行了前瞻性随机对照比较研究。这些患者被分为 3 组,每组 7 人。对术中和术后结果进行了评估。统计分析采用描述性和推论性统计方法,使用了Chisquare检验、Fisher's Exact检验、单向方差分析和多重比较Tukey检验,分析中使用的软件是SPSS 27.0版和GraphPad Prism 7.0版,P<0.05为显著性水平:与科罗拉多显微切割针和电烙术相比,手术刀组切开皮肤所需的时间和失血量更多。在颈部皮肤切口愈合和术后疤痕形成方面,三组之间的差异无统计学意义:本研究证明,与手术刀片和切割电烧相比,科罗拉多微分割针在耗时和失血方面更具优势,在皮肤伤口愈合和术后疤痕形成方面具有相似的美学效果。
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To assess and compare the outcomes of the cutaneous neck dissection incision taken by colorado microdissection needle, surgical blade and cutting electrocautery in patients with oral squamous cell carcinoma: A prospective study.

Aim: To assess and compare the outcomes of the cutaneous neck dissection incisions taken by Colorado microdissection needle, surgical blade and cutting electrocautery in patients with oral squamous cell carcinoma.

Materials and methods: A prospective, randomized control, comparative study was carried out on 21 patients. These patients were divided into 3 groups containing 7 patients in each group. The intra operative and post operative outcomes were evaluated. Statistical analysis was done by using descriptive and inferential statistics using Chisquare test, Fisher's Exact Test, one way ANOVA and multiple comparison Tukey Test and software used in the analysis were SPSS 27.0 version and GraphPad Prism 7.0 version and P < 0.05 is considered as level of significance.

Results: The time taken for placing cutaneous skin incision and blood loss was more in the surgical blade group as compared to the Colorado microdissection needle and electrocautery. Statistically no significant difference between the three group while comparing the cutaneous neck incision healing and post operative scar formation.

Conclusion: This study proves the superiority of the Colorado microdissection needle in terms of time taken and blood loss with similar aesthetic outcome in terms of cutaneous wound healing and post operative scar formation when compared to surgical blade and cutting electrocautery.

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