在内分泌外科病房内直接鼻纤喉镜的学习曲线
Norberto Cassinello Fernández1,2,3, Marina Riera Cardona4,5, Adrian Jareño Silvestre4,6
1Endocrine Surgery Department, Hospital Clínico Universitario, Valencia, Spain. cassinello73@hotmail.com.
Surgical endoscopy
|November 17, 2025
概括
灵活的直接鼻纤喉镜 (DNFL) 是安全的,用于评估甲状腺手术后的声带流动性. 内分泌外科医生可以快速掌握这种技术,在35-40次手术后,性能稳定.
科学领域:
- 内分泌手术 内分泌手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科教育的外科教育
背景情况:
- 回复性喉神经 (RLN) 损伤是甲状腺手术的已知并发症.
- 灵活的直接鼻纤喉镜 (DNFL) 是评估声带流动性的黄金标准.
- 内分泌外科医生之间DNFL的学习曲线和系统的使用需要进一步的定义.
研究的目的:
- 确定影响甲状腺手术患者DNFL结果的因素.
- 评估外科医生经验和患者特征对DNFL学习曲线的影响.
主要方法:
- 110名甲状腺手术患者 (123名DNFL手术) 的回顾性观察研究.
- 外科医生包括初级和高级内分泌外科医生,以前没有DNFL经验.
- 分析包括人口统计/临床数据,探索时间,程序成功,回归和CUSUM分析.
主要成果:
- 在没有任何并发症的情况下,DNFL取得了93.5%的成功率.
- 随着外科医生经验的增加和在研究期间,探索时间显著减少.
- CUSUM分析显示了三个学习阶段,表现稳定在35-40个程序左右.
结论:
- DNFL是一种安全的程序,具有简短,明确的学习曲线.
- 这种技术对于内分泌外科医生来说是可行的,即使没有先前的经验.
- DNFL可以有效地集成到内分泌手术实践中,以评估声带的移动性.
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