耳腔外科手术的现代趋势以及对住院培训的影响
Jason K Adams1, John P Marinelli1, Russell De Jong1
1Department of Otolaryngology-Head and Neck Surgery, San Antonio Uniformed Services Health Education Consortium, San Antonio, Texas, USA.
概括
截肢手术和骨造形手术的手术程序出现了显著的下降. 这些趋势表明,耳植入可能很快就会超过这些骨链手术,影响耳鼻喉学培训.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的发展趋势
- 医学教育 医学教育
背景情况:
- 阶段切除术和骨造形术是耳鼻喉科医生的关键技能.
- 外科医生在获得和保持这些程序的熟练程度方面面临挑战.
- 这些手术的流行前趋势没有得到很好的描述.
研究的目的:
- 分析2020年之前的节节切除术和骨造形手术的趋势.
- 为了了解这些中耳手术在十年内产生的音量变化.
主要方法:
- 对Tricare数据库对2010年至2019年期间执行的程序进行审查.
- 使用当前程序术语 (CPT) 代码识别切除术和骨造形术病例.
- 分析来自民用和军事处理设施的数据.
主要成果:
- 总共进行了3052次形切除手术和7197次骨移植手术.
- 阶段切除术的病例减少了23% (平均年率为-2.7%).
- 骨造术病例减少了18% (平均年率为-1.9%).
结论:
- 切除关节手术和骨造形手术都显示出一致的下降.
- 耳植入体积可能很快就会超过结合切除术和骨造形术的比率.
- 这些转变需要重新评估耳鼻喉科住院培训的优先事项,潜在地取代了耳植入作为关键指标的耳植入.
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