| 杜雨晴,徐瑞芳,刘玉江.超声引导下颈浅丛神经阻滞联合逐步浸润麻醉用于热消融治疗甲状腺结节[J].中国介入影像与治疗学,2026,23(7):390-393 |
| 超声引导下颈浅丛神经阻滞联合逐步浸润麻醉用于热消融治疗甲状腺结节 |
| Ultrasound-guided superficial cervical plexus block combined with infiltration anesthesia for thermal ablation of thyroid nodules |
| 投稿时间：2026-01-28 修订日期：2026-06-06 |
| DOI：10.13929/j.issn.1672-8475.2026.07.002 |
| 中文关键词: 甲状腺结节 消融技术 神经传导阻滞 超声检查 |
| 英文关键词:thyroid nodule ablation techniques nerve block ultrasonography |
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| 中文摘要: |
| 目的 观察超声引导下颈浅丛神经阻滞联合逐步浸润麻醉用于热消融治疗甲状腺结节的价值。方法 前瞻性纳入100例拟接受热消融治疗的甲状腺良性结节患者，随机划分试验组（n=50）与对照组（n=50），分别行颈浅丛神经阻滞联合逐步浸润麻醉及单纯逐步浸润麻醉。对比组间消融后即刻、2 h及24 h疼痛情况，并记录治疗中及治疗后有无呼吸困难、霍纳综合征、声音嘶哑及过敏等并发症；观察试验组麻醉效果及安全性。结果 消融后2 h内试验组4例、对照组8例出现放射性疼痛，每组各2例于消融中接受补救性镇痛，组间差异均无统计学意义（P均＞0.05）。消融后对照组3例接受口服布洛芬镇痛，试验组无需接受镇痛者。试验组消融后即刻及2 h视觉模拟评分法（VAS）评分均显著低于对照组（P均＜0.05）；消融后24 h组间评分差异无统计学意义（P＞0.05）。消融后5 min试验组1例出现一过性呼吸困难，予吸氧后缓解；未见其他并发症。结论 超声引导下颈浅丛神经阻滞联合逐步浸润麻醉用于热消融治疗甲状腺结节能有效减轻患者疼痛且安全性高。 |
| 英文摘要: |
| Objective To explore the value of ultrasound-guided superficial cervical plexus block combined with infiltration anesthesia for thermal ablation of thyroid nodules. Methods Totally 100 patients with benign thyroid nodules who would undergo thermal ablation were prospectively enrolled and randomly divided into experimental group （n=50） and control group （n=50）.Superficial cervical plexus block combined with infiltration anesthesia and simple infiltration anesthesia were performed in experimental group and control group， respectively. The pain levels immediately， 2 and 24 h after ablation were compared between groups， and complications such as dyspnea， Horner syndrome， hoarseness and allergies during and after ablation were recorded. The anesthesia efficacy and safety of experimental group were evaluated. Results Four cases in experimental group and 8 cases in control group experienced radiation pain within 2 h after ablation， while 2 cases in each group received salvage analgesia during ablation （both P＞0.05）. After ablation， 3 cases in control group received oral ibuprofen analgesia， while no one in experimental group received analgesia. The visual analogue scale （VAS） scores of experimental group were significantly lower than those of control group immediately and 2 h after ablation （both P＜0.05）， while no significant difference was found between groups 24 h after ablation （P＞0.05）. Five min after ablation， 1 case in experimental group experienced transient dyspnea， which was relieved after oxygen therapy. No other complications could be observed. Conclusion Ultrasound-guided superficial cervical plexus block combined with infiltration anesthesia for thermal ablation of thyroid nodules could effectively reduce pain with high safety. |
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