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临床医生的准确性在吞光学检查上识别喉关键标志
Nina W Zhao1,2, Bridget V MacDonald1, Jessica R Pietrowski1
1Department of Otolaryngology-Head and Neck Surgery University of California, Davis Sacramento California USA.
Laryngoscope investigative otolaryngology
|October 30, 2023
概括
临床医生和实习生在吞光学检查时,在识别喉标志方面表现不佳. 在视频光镜吞研究 (VFSS) 期间,需要改进训练,以准确识别解剖结构.
科学领域:
- 医疗成像医学成像
- 人体解剖学 解剖学 解剖学
- 吞障碍 吞障碍 吞障碍
背景情况:
- 准确识别解剖学标志对于解释视频光学吞研究 (VFSS) 至关重要.
- 了解喉解剖学对于诊断和管理失消症至关重要.
研究的目的:
- 确认关键喉解剖标志的精确位置.
- 评估临床医生和学员在VFSS上识别这些结构的准确性.
主要方法:
- 人体尸体被用来创建横向和前后 (AP) 光镜图像.
- 使用内镜和导线精确识别喉结构,创建标记图像进行比较.
- 语音病理学家 (SLPs),喉科专家及其学员在未标记的图像上确定了18个解剖结构.
主要成果:
- 在识别喉标志的整体准确性很低,平均为41.7%.
- 与AP视图 (27.3%) 相比,侧向视图 (53.1%) 的准确性明显更高.
- 关键结构,如喉腔心室和前腔委托经常被错误识别.
结论:
- 经验丰富的临床医生和实习生都在VFSS上识别必要的喉里程碑时表现出低于最佳的准确性.
- 需要进一步的研究来开发有效的培训策略,以改善VFSS中的解剖识别.
- 加强对VFSS的标志性识别对于准确的食障碍评估和患者护理至关重要.
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