Jang Timothy, Aubin Chandra, Naunheim Rosanne
Division of Emergency Medicine, Barnes-Jewish Hospital, St. Louis, Missouri 63110, USA.
Am J Emerg Med. 2004 Oct;22(6):439-43. doi: 10.1016/j.ajem.2004.07.025.
The objective of this study was to assess if 10 right upper quadrant (RUQ) ultrasound (US) examinations could be used as a minimum standard for training. This was a retrospective review of patients with suspected gallbladder pathology who underwent resident-performed RUQ US before operative or department of radiology evaluation. Two hundred twenty-four patients were examined using resident-performed RUQ US followed by gold standard evaluations. One hundred seventy-eight patients were evaluated by 13 residents who met the "minimum training" standard of 10 prior examinations. The results of resident-performed RUQ US for gallstones and/or cholecystitis are shown subsequently. Previous suggestions that 10 examinations could be used as a minimum standard for training in focused abdominal sonography for trauma examinations cannot be used for RUQ US. The ACEP 2001 guidelines for 25 examinations are more consistent with the learning curve suggested by our data.
本研究的目的是评估10次右上腹（RUQ）超声（US）检查是否可作为培训的最低标准。这是一项对疑似胆囊病变患者的回顾性研究，这些患者在接受手术或放射科评估之前接受了住院医师操作的RUQ US检查。224例患者接受了住院医师操作的RUQ US检查，随后进行了金标准评估。178例患者由13名符合10次先前检查“最低培训”标准的住院医师进行评估。随后展示了住院医师操作的RUQ US对胆结石和/或胆囊炎的检查结果。先前关于10次检查可作为创伤检查腹部聚焦超声检查培训最低标准的建议不适用于RUQ US。美国急诊医师学会（ACEP）2001年关于25次检查的指南与我们数据所显示的学习曲线更为一致。
