内镜脊柱手术:法国全国实践,动机和挑战调查
Xavier Castel1,2, Marc Szadkowski3,2, Henri d'Astorg3,2
1Hopital Privé Jean Mermoz, Ramsay-Générale de Santé, Lyon, France xavier.castel@neurochirurgie.fr.
International journal of spine surgery
|February 11, 2025
概括
法国脊柱外科医生认识到内镜脊柱手术的好处,但缺乏培训和高设备成本阻碍了更广泛的采用. 解决这些障碍对于扩大微创技术至关重要.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 最少侵入性的手术
- 内镜技术 内镜技术
背景情况:
- 与开放式手术相比,内镜脊柱手术提供了诸如减少创伤和更快恢复等优势.
- 更广泛的采用受到的学习曲线和专门设备要求的限制.
研究的目的:
- 评估法国脊椎外科医生目前对内镜的使用情况.
- 识别阻碍更广泛采用内镜脊柱手术的障碍.
主要方法:
- 一项横截面调查分发给了法兰西外科外科协会的522名会员.
- 通过谷歌表格发送预定义的问卷,并提醒未回答者.
- 收集和分析了123名外科医生的反应.
主要成果:
- 39%的受访者进行了内镜检查,大多数人通过同行观察或研讨会获得技能.
- 显著一部分内镜医生有1-3年的经验,每月进行5-10次手术.
- 缺乏培训 (26%) 和高设备成本 (13.8%) 是主要的障碍,尽管92.1%的患者观察到更好的患者结果.
结论:
- 该调查强调了法国内镜脊柱手术的当前趋势.
- 缺乏培训和设备成本是扩大这种微创技术使用的重大障碍.
- 了解这些因素可以指导策略,以改善内镜脊柱手术的培训和可访问性.
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