前鋸肌平面阻滯促進(jìn)腋乳入路機(jī)器人輔助甲狀腺手術(shù)患者的快速康復(fù)（附手術(shù)視頻）

打開文本圖片集

（1.山東濰坊261053；2.中國人民解放軍聯(lián)勤保障部隊(duì)第九六〇醫(yī)院麻醉科）

關(guān)鍵詞前鋸肌平面阻滯；超聲引導(dǎo)；手術(shù)機(jī)器人；甲狀腺手術(shù)；羅哌卡因中圖分類號 文獻(xiàn)標(biāo)識碼 A 文章編號 2096-7721（2025）04-0585-06

Serratus anterior plane block facilitates enhanced recovery in patients undergoing robot-assisted thyroidectomy via the axillo-breast approach （with surgical video）

ZHANG Wei1，2， WANG Fei2， GAO Chengjie2

（1.TheAnesthesiologyCollgeofShandongSecondMedicalUniversityWeifang261053，China；2.DeparmentofAnesthesilogyte 960th Hospital ofPLA Joint Logistic SupportForce，Jinan 25Oo31， China）

AbstractObjective：Toevaluatetheclinicaleffcacyofseratusanteriorplaneblock （SAPB）inpatientsundergoingDa Vincirobot assistedhyrodecviateaeralaxillbreastapprochAB）etos7pantssduledforbotasstdydeto viaBABAfromFebruary2O22toMay2O22wereenroled.TheyweredividedintotheGSgroup（n=35，receivinggeneralanesthesia combined with SAPB） and the G group （ n =35，receiving general anesthesia alone） using a random number table.Mean arterial pressure （MAP）adeartate（H）wecodedat4iepotsecii）oarcent，urgicalavitygtio）d 5miutesfb）.esfifoldeilsellbo recorded.PostoptiemealtgSale（oddeeevtseat2，24d4s Results：NosignificantdiferencesinMAPwereobservedbetweenthetwogroupsatanytimepoint（P>0.05）.HRintheGSgroupwas significantlylowerthantheGgroupatT2andT3，buttherewasnosignificantdiferenceatTOandTbetweethetwogroups（ P <0.05）.

基金項(xiàng)目：濟(jì)南市科學(xué)技術(shù)局臨床醫(yī)學(xué)科技創(chuàng)新計(jì)劃（202019018

The GS group required significantly lower doses of sufentanil，propofol，and remifentanil （ P <0.05），shorter extubation time （ P <0.05）， lower NRS scores at 2，6，12，24，and 48 hours after surgery than the G group （ P <0.05）.Rates of adverse event were comparable between the two groups' （ P>0 . 0 5 ） . Conclusion： General anesthesia combined with SAPB can lower HR，alleviate stress response，reduce opioid andsedativequirements，ducepostoperatiepinsresandimprovepatintomfortvelsinatientsudergingboste thyroidectomy via BABA without increasing block-related complications，which is worthofclinical promotion. Key WordsSerratus AnteriorPlane Block； Ultrasonic Guidance； Surgical Robot； Thyroid Surgery； Ropivacaine

雙側(cè)腋窩乳暈入路（Bilateral Axillo-Breast Approach，BABA）機(jī)器人輔助甲狀腺手術(shù)取雙側(cè)腋前線皺襞和乳暈切口，皮下注射腫脹液，用分離棒向胸骨上窩方向構(gòu)建皮下隧道[1-2]。（剩余10072字）