分析经口腔前庭入路机器人辅助甲状腺切除术（Transoral thyroidectomy vestibular approach，TORTVA）的围手术期口腔清洁管理的干预效果。方法：纳入2017年12月—2021年3月在陆军特色医学中心乳腺甲状腺外科接受TORTVA治疗的患者共30例，对所有患者进行术前洁牙、口服抗生素，术中严格无菌技术，术后加强漱口、口服抗生素等围手术期口腔清洁干预管理。观察患者口腔伤口情况、口腔异味、溃疡、牙龈肿痛等情况。结果：对所有经口腔前庭入路机器人辅助甲状腺切除患者于围手术期进行口腔管理，所有患者术后伤口恢复良好，均未出现伤口感染、口腔异味、溃疡或牙龈肿痛等情况，未发生任何严重并发症。结论：TORTVA围手术期给予有效的口腔管理可提升口腔清洁度，减少术后并发症的发生，值得在临床中广泛推广。

To analyze the intervention effect of perioperative oral cleaning management in transoral robotic thyroidectomy vestibular approach (TORTVA). Methods: 30 patients who were treated with TORTVA in Department of Breast and Thyroid Surgery, Army Medical Center of PLA from December 2017 to March 2021 were selected and included in this study.All patients were given perioperative oral cleaning management and followed up more than one month. Results: All patients were recovered well. No wound infection, bad breath, ulcer or gingival swelling were found. No serious complications occurred.Conclusion: Effective oral management in perioperative period of TORTVA could improve oral cleanliness and reduce the incidence of postoperative infection, which is worthy of clinical promotion.

收稿日期：2021-04-19 录用日期：2021-12-23

Received Date: 2021-04-19 Accepted Date: 2021-12-23

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：徐琰，Email：xy931@126.com

Corresponding Author: XU Yan, Email: xy931@126.com

引用格式：邹家群，余富杰，王春，等. 经口腔前庭入路机器人辅助甲状腺切除术围手术期患者的口腔管理[J]. 机器人外科学杂志（中英文），2022，3（4）：291-294.

Citation: ZOU J Q, YU F J, WANG C, et al. Perioperative oral management on patients under transoral robotic thyroidectomy vestibular approach[J]. Chinese Journal of Robotic Surgery, 2022, 3(4): 291-294.

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