检查侧侧部X射线在儿科耳鼻喉科中的实用性
Madeline Marker1, Cassandra Meyer2, Sivakumar Chinnadurai1,2
1Department of Otolaryngology Head and Neck Surgery, University of Minnesota Medical School, Minneapolis, MN, USA.
The Annals of otology, rhinology, and laryngology
|January 23, 2025
概括
侧部部X射线很少改变儿童耳鼻喉科治疗计划. 对气道问题进行成像之前的咨询可能会降低成本和辐射暴露.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 诊断成像 诊断成像 诊断成像
- 医疗决策的制定 医疗决策的制定
背景情况:
- 在儿科耳鼻喉科中,侧部部X射线的诊断价值仍然不确定.
- 之前的研究表明对异物吸收治疗的影响有限.
- 这项研究评估了X射线在所有耳鼻喉科诊所的效用.
研究的目的:
- 评估侧X射线在接受耳鼻喉科咨询的儿科患者的临床效用.
- 为了确定X射线发现是否影响耳鼻喉科医生管理决策.
- 为了确定侧X射线最不有益的特定症状.
主要方法:
- 对接受侧X射线和耳鼻喉科咨询的儿科患者 (2012-2022) 的回顾性图表审查.
- 收集的数据包括X射线指示,诊断和对干预决策的影响.
- 分析的重点是X射线结果与随后的医疗或手术管理之间的相关性.
主要成果:
- 侧部部X射线仅在15%的病例中影响了耳鼻喉科医生的决定 (审查了494名患者).
- 在25%的耳鼻喉科咨询中进行了干预,独立于X射线发现.
- 常见的X射线指示包括异物吸收 (22%), (21%) 和呼吸困难 (20%).
结论:
- 侧部部X射线在指导儿科患者耳鼻喉科管理方面具有很小的效用.
- 在怀疑或异物吸入时,X射线最不适合.
- 在成像之前咨询耳鼻喉科治疗,呼吸困难或呼吸道阻塞,可以提高效率并减少辐射暴露.
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