Department of Otolaryngology, Far Eastern Memorial Hospital, Taipei, Taiwan; Oriental Institute of Technology, Taipei, Taiwan.
Head Neck. 2014 Feb;36(2):252-6. doi: 10.1002/hed.23303. Epub 2013 Jun 1.
The purpose of this study was to evaluate the pain levels associated with ultrasound-guided fine-needle aspiration biopsy (FNAB) of neck masses.
The pain immediately and 5 minutes after the procedure without use of local anesthesia was evaluated via 100-mm visual analog scale (VAS), 11-point numeric rating scale (NRS), and 4-category verbal rating scale (VRS) in 154 patients.
The mean scores (SDs) for VAS, NRS, and VRS immediately versus 5 minutes after the procedure were 30.5 (24.4) versus 7.3 (13.7), 3.3 (2.2) versus 0.8 (1.6), and 1.3 (0.6) versus 0.3 (0.6), respectively (all ps < .001). Immediately after ultrasound-guided FNAB, the pain scores associated with lymph node aspiration (VAS, 36.7 [25.5]; NRS, 3.9 [2.1]) were significantly higher (both ps < .05) than those associated with thyroid nodule aspiration (VAS, 25.0 [21.2]; NRS, 2.8 [2.0]).
Ultrasound-guided FNAB of thyroid nodules was less painful than that of cervical lymphadenopathy. Most patients tolerated mild transient pain after the procedure without use of local anesthesia. Nevertheless, local anesthesia was necessary for the small subgroup of patients who experienced significant pain.
本研究旨在评估超声引导下细针抽吸活检（FNAB）颈部肿块时的疼痛程度。
154 例患者在未使用局部麻醉的情况下，通过 100mm 视觉模拟量表（VAS）、11 点数字评分量表（NRS）和 4 级语言评定量表（VRS）评估即刻和操作后 5 分钟的疼痛程度。
VAS、NRS 和 VRS 评分即刻与操作后 5 分钟的平均值（标准差）分别为 30.5（24.4）比 7.3（13.7）、3.3（2.2）比 0.8（1.6）和 1.3（0.6）比 0.3（0.6）（均 P <.001）。超声引导下 FNAB 后即刻，淋巴结抽吸（VAS，36.7[25.5]；NRS，3.9[2.1]）的疼痛评分显著高于甲状腺结节抽吸（VAS，25.0[21.2]；NRS，2.8[2.0]）（均 P <.05）。
超声引导下甲状腺结节 FNAB 比颈部淋巴结病引起的疼痛更小。大多数患者在不使用局部麻醉的情况下可耐受短暂的轻度疼痛。然而，对于经历明显疼痛的小亚组患者，仍需要使用局部麻醉。
