Kumar V, Patel H R, Nathan S M, Miller R A, Lawson A H
The Whittington Hospital, London, UK.
Urol Int. 2004;73(3):198-200; discussion 200. doi: 10.1159/000080827.
There has been considerable expansion in the use of flexible cystoscopy (FC) and people who can perform the procedure. Hence, there is a criticism that this procedure is being overused with no management benefit.
We audited the use of FC in a district hospital for a period of 1 year. The results of FC for non-standard indications (other than haematuria and check cystoscopy) were analysed for their diagnostic yield.
Of the 1,390 FCs performed, 295 were done for non-standard indications. 46.14% of these cystoscopies had positive findings. Cancer detection rate was 6.10%. Cystoscopy altered the management in 14.08% of patients and was supportive to diagnosis and management in 32.06%.
This procedure is certainly not overused and the ever-increasing requirement of this simple procedure has serious resource implications for the National Health Service.
软性膀胱镜检查（FC）的使用及能够实施该检查的人员数量都有了显著增加。因此，有人批评该检查被过度使用且无管理效益。
我们对一家地区医院1年内FC的使用情况进行了审核。分析了非标准适应证（血尿和检查性膀胱镜检查以外）的FC诊断结果。
在1390例FC检查中，295例是针对非标准适应证进行的。这些膀胱镜检查中有46.14%发现了阳性结果。癌症检出率为6.10%。膀胱镜检查改变了14.08%患者的治疗方案，在32.06%的患者中对诊断和治疗有辅助作用。
该检查肯定没有被过度使用，而对这种简单检查日益增长的需求给国民医疗服务体系带来了严重的资源问题。
