醒着迫使复杂的喉鱼骨冲击的检索使用单次使用的鼻腔镜与仪器通道:回顾案例系列
Ian T Braithwaite1, Max B Butler1, Dave K Sharma1
1Otolaryngology, Royal London Hospital, Barts Health NHS Trust, London, GBR.
Cureus
|January 14, 2026
概括
使用一次性鼻腔镜清除鱼骨是安全有效的,与全身麻醉 (GA) 相比,显著降低了成本. 这种方法提供了一种更便宜的替代方案,用于喉鱼的骨损伤,减少医疗保健费用.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗器械 医疗器械
- 卫生经济学 卫生经济学
背景情况:
- 喉鱼的骨损伤是经常发生的耳鼻喉急救情况.
- 虽然口腔切除是常见的,但复杂的病例需要全身麻醉 (GA).
- 可重复使用的导引移除的鼻腔镜由于清除污染的需要而受限于采用.
研究的目的:
- 为了评估醒着的临床有效性,单次使用的道化鼻视镜引导的鱼骨检索.
- 与GA去除相比,评估该技术的经济影响.
- 确定单次使用的鼻腔镜是否可以增加这种微创手术的采用率.
主要方法:
- 追溯成人患者的病例系列,鱼骨损伤不适合口腔提取.
- 使用一次性使用的道化鼻腔镜和灵活的子唤醒.
- 根据NHS费率分析成功率,并发症,GA要求和成本.
主要成果:
- 80% (8/10) 的病例通过醒着的鼻腔镜检索成功治疗,没有并发症.
- 在2名患者中,需要进行GA去除.
- 醒着的技术每例成本为202英,而GA的成本为3,922英,每例成功节省了3,720英.
结论:
- 清醒,一次性使用的鼻腔镜引导的鱼骨切除是一种安全有效的程序.
- 这种方法比GA去除更具成本效益.
- 更广泛的采用可以减少剧院需求,麻醉剂暴露和医疗保健成本.
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