Patient Discomfort in Relation to Thyroid Nodule Fine-Needle Aspiration (FNA) Performed with or without Parenteral and/or Topical Anesthetic.

摘要: ABSTRACT Objective: There is much reported variation in the impact of local anesthesia on thyroid fine-needle aspiration (FNA) related discomfort. We compare patients undergoing FNA with subcutaneous injection or topical anesthetic to no anesthetic. Methods: conducted a retrospective review 585 sequential ultrasound guided procedures Mayo Clinic. Group 1 (n = 200), anesthetic; 2 185), and 3 Patient demographics, number passes, needle gauge, cytopathology were recorded plus discomfort score (0 10) before immediately post procedure all groups peak during Groups 2. Results: differences among age, sex, sufficiency rate, cytopathology, passes number. was significant difference between FNA: 0 (45%, 42.2%), (19%, 24.9%), 5 (23.5%, 20.5%), 6 8 (9.5%, 10.8%), 9 10 (3%, 1.6%), respectively. Discomfort procedure: (78.5%, 77.8%, 53.5%), (13%, 13%, 36.5%), (7%, 7%, 9%), (1.5%, 2.2%, 1%), (0%, 0%, 0%) for 1, 2, 3, ≥3. Conclusion: associated patient comparable after regardless use type utilized. Approximately 90% experienced mild moderate procedure. And more than level Abbreviations: End endocrinology; aspiration; MCF Clinic Florida; MCR Rochester