Metson Ralph
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, USA.
Otolaryngol Head Neck Surg. 2003 Jan;128(1):8-13. doi: 10.1067/mhn.2003.40.
To study physician utilization and experience with image-guidance technology for sinus surgery.
Retrospective review of the first 1000 image-guided sinus operations performed by 42 surgeons at an academic medical center.
Utilization of image-guidance systems showed a dramatic increase in both number of cases performed and surgeons who used this equipment (70.6% and 92.8%, respectively) during the first 2 years of its availability. Surgical volume subsequently decreased by a mean of 9.3% per year, whereas the number of surgeons using this technology plateaued. The majority of surgeons continued to perform image-guided surgery throughout the study period for selected cases. The knowledge base gained from this experience can best be summarized as a series of lessons learned.
It is likely that the availability and utilization of image-guidance systems for sinus surgery will continue to increase in the future. Physicians who learn to use this new technology must do so with an appreciation for both its potential benefits and pitfalls.
研究鼻窦手术中医生对图像引导技术的使用情况及经验。
对一所学术医疗中心42位外科医生进行的前1000例图像引导鼻窦手术进行回顾性研究。
在图像引导系统可用的头两年，其使用情况显示，手术例数和使用该设备的外科医生数量均显著增加（分别为70.6%和92.8%）。随后手术量平均每年下降9.3%，而使用该技术的外科医生数量趋于平稳。在整个研究期间，大多数外科医生继续为特定病例进行图像引导手术。从这一经验中获得的知识库最好总结为一系列经验教训。
未来，鼻窦手术图像引导系统的可用性和使用率可能会继续提高。学会使用这项新技术的医生必须充分认识到其潜在的益处和风险。
