分析经口腔前庭入路机器人辅助甲状腺手术（Transoral robotic thyroidectomy vestibular approach，TORTVA）患者的相关护理方法，为广大临床护理工作者提供更多的TORTVA手术护理经验。方法：回顾性分析陆军特色医学中心乳腺甲状腺外科46例经口腔前庭入路机器人辅助甲状腺手术患者的临床资料，做好口腔护理、体位训练和心理护理等方面的术前准备；术后观察口腔情况，做好口腔护理，观察颈围变化，做好术后并发症的相关护理；出院前做好经口腔前庭入路机器人辅助甲状腺手术的相关出院宣教等。结果：除1例中转开放患者外，其余患者均恢复良好，于术后48h出院。结论：做好TORTVA手术的术前、术后护理及出院相关指导，可更快、更好地促进患者恢复，并能满足患者对颈部美观的要求，值得在临床中推广。

To analyze and summarize the nursing experience of transoral robotic thyroidectomy vestibular approach(TORTVA). Methods: A retrospective analysis was performed on 46 patients underwent transoral robotic thyroidectomy vestibular approach.Preoperative nursing (including oral care, posture training and psychological nursing), postoperativenursing (including oral observation, oral care, observation of neck circumference and postoperative complications nursing) and discharge educations on robot-assisted thyroidectomy via oral vestibular approach were performed. Results: Except 1 case of transferring to open surgery, all patients were well recovered and discharged 48 hours after surgery. Conclusion: Better and faster recovery of patients could be achieved with better preoperative nursing, postoperative nursing and discharge education in TORTVA surgery.

收稿日期：2021-07-26 录用日期：2021-12-31

Received Date: 2021-07-26 Accepted Date: 2021-12-31

基金项目：重庆市技术创新与应用发展专项面上项目（cstc2019jscx-msxmX0196）

Foundation Item: General Program of Special Project for Development of Technology Innovation and Application in Chongqing (cstc2019jscx-msxmX0196)

通讯作者：邹家群，Email：zoujiaqun1986@126.com

Corresponding Author: ZOU Jiaqun, Email: zoujiaqun1986@126.com

引用格式：朱高敏，张姝，徐琰，等.经口腔前庭入路机器人甲状腺切除术的护理[J]. 机器人外科学杂志（中英文），2022，3（4）：280-284.

Citation: ZHU G M, ZHANG S, XU Y, et al. Nursing on transoral robotic thyroidectomy vestibular approach[J]. Chinese Journal of Robotic Surgery, 2022, 3(4): 280-284.

[1] 张彬, 韩宗辉, Bikask Rai. 经口腔达芬奇机器人甲状腺手术初步经验[J]. 中华腔镜外科杂志( 电子版),2018, 11(4): 234-237.

[2] 高玉萍, 刘美凤, 于成娥, 等. 经口腔前庭入路腔镜甲状腺肿瘤切除术围手术期护理模式探讨[J].2020,26(26): 3673-3676.

[3] 余富杰, 赵大威, 徐琰. 经口腔前庭腔镜甲状腺切除手术与传统开放性手术的比较[J]. 中国内镜杂志,2020, 26(4): 60-66.

[4] 李利利, 董延晨, 陈露, 等. 全国首例达芬奇机器人甲状腺手术的护理[J]. 解放军护理杂志, 2015,32(9): 57-63.

[5] 杨阳. 22 例达芬奇机器人辅助下经双侧乳晕及腋窝入路甲状腺手术患者的护理[J]. 天津护理, 2020,33(14): 1307-1310.

[6] 孙莹, 张彬. 达芬奇机器人辅助下经口甲状腺切除术的护理配合与体会[J]. 护士进修杂志, 2018,33(14): 1307-1310.

[7] 杨维, 甘晓琴. 1 例经口腔前庭入路机器人甲状腺肿瘤切除术的护理配合[J]. 全科护理, 2019, 17(8):1023-1024.

[8] 李素仪, 彭静君. 经口腔镜甲状腺手术围手术期患者口腔清洁度的管理[J]. 中国医药科学, 2020,10(10): 115-117.

[9] 武婷婷. 对接受经口腔前庭入路腔镜甲状腺切除术的患者进行精细化护理的效果分析[J]. 当代医药论丛, 2020, 18(4): 238-239.

[10] 陈晓敏, 叶钦, 张燕芬. 弹力绷带在经口腔前庭腔镜甲状腺手术术后康复中的应用[J]. 全科护理,2019, 17(12): 1485-1486.

[11] Kim H Y, Chai Y J, Dionigi G, et al. Transoral roboric thyroidectomy: lessons learned form an initial consecutive series of 24 patients[J]. Surg Endosc, 2018,32(2): 688-694.