超声引导下甲状腺热消融术疼痛的影响因素  

Factors influencing pain degree in ultrasound-guided thyroid thermal ablation

作　　者：邱秀萍 温石娣 陈阳[1] 黄汝哨 张桔顺 陈杭菊 涂梅[1] QIU Xiuping;WEN Shidi;CHEN Yang;HUANG Rushao;ZHANG Jushun;CHEN Hangju;TU Mei(Department of Endocrinology,Longyan Municipal First Hospital,Longyan,Fujian Province 364000,China)

机构地区：[1]龙岩市第一医院内分泌科,龙福建364000 [2]岩市第一医院超声科,福建364000

出　　处：《介入放射学杂志》2022年第8期797-800,共4页Journal of Interventional Radiology

基　　金：福建省龙岩市科技计划项目(2020LYF17023)。

摘　　要：目的 探讨超声引导下甲状腺热消融术治疗良性甲状腺结节时疼痛的影响因素。方法 纳入龙岩市第一医院300例行甲状腺热消融术的患者,采用视觉模拟评分和数字评分法评价疼痛程度。以数字评分为因变量,以年龄、性别、手术时间等为自变量,logistic回归模型分析消融术疼痛的影响因素。结果 甲状腺结节位于上极或者靠近腹侧包膜时疼痛明显,数字评分均为4分,视觉模拟评分均为6分。logistic回归分析显示,疼痛与年龄(OR=1.56,95%CI:1.01~1.83,P=0.023)和手术时间(OR=1.71,95%CI:1.29~2.25,P=0.005)显著相关。使用射频针和微波针的数字评分(Z=-1.564,P=0.118)、视觉模拟评分(Z=-0.904,P=0.366)结果显示差异均无统计学意义。结论 年龄和手术时间是超声引导下甲状腺热消融术疼痛的影响因素。Objective To investigate the factors influencing pain degree in ultrasound-guided thyroid thermal ablation for the treatment of benign thyroid nodules. Methods A total of 300 patients with benign thyroid nodules, who received thyroid thermal ablation at Longyan Municipal First Hospital of China were enrolled in this study. Visual analog scoring(VAS) method and digital scoring method were used to assess the pain degree. By using numerical score as the dependent variable, and age, sex, surgery time as independent variables, the analysis of factors influencing pain degree in ultrasound-guided thyroid thermal ablation was conducted with logistic regression model. Results During thermal ablation, significant pain was seen in patients, in whom the thyroid nodules were located at the thyroid upper pole or near the ventral capsule, the numerical score was up to 4 points and the VAS score was up to 6 points. Logistic regression analysis indicated that the pain degree was significantly correlated with age(OR=1.56, 95%CI=1.01-1.83, P=0.023) and operation time(OR=1.71, 95%CI=1.29-2.25, P=0.005). No statistically significant differences in numerical score(z=-1.564, P=0.118) and VAS score(z=-0.904, P=0.366) of pain degree existed between radiofrequencyneedle(RF-needle) group and microwave-needle group. Conclusion In treating benign thyroid nodules with ultrasound-guided thyroid thermal ablation, the age and operation time are the main factors that influence pain degree.

关 键 词：甲状腺热消融 甲状腺结节 疼痛评估 

分 类 号：R736.1[医药卫生—肿瘤]