【摘要】 目的 探讨经胸锁乳突肌肌间入路行单侧甲状腺切除术的优点及临床应用前景。方法 回顾分析2021年1月至2023年1月就诊于嘉兴市第二医院甲状腺头颈外科80例单侧甲状腺良性结节患者。根据患者住院流程随机分为日间组和住院组，每组各40例。日间组给予经胸锁乳突肌肌间入路行日间手术治疗，住院组给予经颈白线正中入路行普通住院手术治疗。收集两者患者一般资料，并比较两组患者围术期基本指标、术后切口疼痛情况、住院时间、住院费用、满意度以及并发症发生情况。结果 两组患者术前临床资料相比差异无统计学意义（P>0.05）。两组患者手术时间（60.65±11.68） min vs.(60.28±11.19) min和术中出血量（10.73±6.39） mL vs.(10.45±7.25) mL相比差异无统计学意义（P>0.05）。住院组患者住院时间（53.12±9.66） h vs.(23.28±4.84) h、住院费用（1.08±0.50）万元vs.(0.93±0.34)万元和术后疼痛评分（术后6 h(2.93±1.00) vs.(3.33±0.80)；术后24 h(2.33±0.57) vs.(2.90±0.87)，均高于日间组（均P<0.05）。住院组患者满意度显著低于日间组[（92.13±4.17） vs.(87.43±5.68);P<0.001]。住院组患者术后1个月并发症总发生率12.50%(5/40)高于日间组7.50%(3/40)，但差异无统计学意义（P>0.05）。结论 经胸锁乳突肌肌间入路行单侧甲状腺切除安全有效，可推广应用。更多还原

【Abstract】 Objective To explore the advantages and clinical application prospects of unilateral thyroidectomy through the intermuscular ap-proach of sternocleidomastoid. Methods A retrospective analysis of 80 patients with unilateral benign thyroid nodules in our hospital from January2021 to January 2023. According to the hospitalization process, the patients were divided into a day group and an inpatient group, with 40 cases in each group. The day group was treated with day surgery through the intermuscular approach through the sternocleidomastoid muscle, and the inpatient group was treated with general inpatient surgery through the median approach through the cervical linea alba. The general data of the two patients were collected, and the perioperative basic indicators, postoperative incision pain, hospitalization time, hospitalization expenses, satisfaction and com-plications were compared between the two groups. Results There was no significant difference in preoperative clinical data between the two groups(P>0.05). There was no significant difference in operation time(60.65±11.68 min vs. 60.28±11.19 min) and intraoperative blood loss(10.73±6.39 mL vs.10.45±7.25 m L) between the two groups(P>0.05). Hospitalization time(53.12±9.66 h vs. 23.28±4.84 h), hospitalization expenses(1.08±0.50 million yuan vs. 0.93±0.34 million yuan) and postoperative pain scores(6h after surgery:2.93±1.00 vs. 3.33±0.80, 24h after operation: 2.33±0.57 vs. 2.90±0.87)were higher than those in the day group(P<0.05). Patient satisfaction in the inpatient group was significantly lower than that in the daytime group(92.13±4.17 vs. 87.43±5.68, P<0.001). The total incidence of complications 1 month after operation in the hospitalized group was 12.50%(5/40) higher than that in the daytime group 7.50%(3/40), but the difference was not statistically significant( P>0.05). Conclusion Unilateral thyroidectomy via sternocleidomastoid intermuscular approach is safe and effective, and can be popularized and applied.更多还原