Burrows Nicola J, Ali Nabeel J, Cox Giles M
Kingsmill Hospital, Mansfield, Nottingham City Hospital, Nottinghamshire, UK.
Respir Med. 2006 Jul;100(7):1234-8. doi: 10.1016/j.rmed.2005.10.017. Epub 2005 Dec 5.
Medical thoracoscopy is a safe, reliable and therapeutic procedure used in the management of pleural disease. For reasons that are unclear it is under utilised in the United Kingdom (UK) when compared to the rest of Europe. We have studied its development and use over the past 5 years.
We have performed national postal surveys in 1999 and 2004 to assess the provision of medical thoracoscopy, its indications for use, local practices as well as, training and audit issues.
11 centres in 1999 and 17 centres in 2004 perform medical thoracoscopy, there were more district general hospitals providing this service than teaching hospitals. Twenty-seven centres in 1999 and 54 centres in 2004 stated plans to begin providing a service. Centres were performing between 10 and 30 thoracoscopies per year. There were differences between centres in local practices and training received. The majority of currently performing centres offered training and were interested in national audit.
This study has shown there are still only a small proportion of UK respiratory centres performing medical thoracoscopy. There is a growing interest in the procedure, however, issues regarding standardisation of care across the UK, on going competency and training have been highlighted. A British Thoracic Society (BTS) working group has been set up to address these.
医学胸腔镜检查是一种用于治疗胸膜疾病的安全、可靠的治疗方法。与欧洲其他地区相比，英国对其使用不足，原因尚不清楚。我们研究了其在过去5年中的发展和应用情况。
我们在1999年和2004年进行了全国邮政调查，以评估医学胸腔镜检查的提供情况、使用指征、当地的操作方法以及培训和审核问题。
1999年有11个中心开展医学胸腔镜检查，2004年有17个中心开展。提供这项服务的地区综合医院比教学医院更多。1999年有27个中心，2004年有54个中心表示计划开始提供这项服务。各中心每年进行10至30例胸腔镜检查。各中心在当地操作方法和接受的培训方面存在差异。目前开展该检查的大多数中心提供培训，并且对全国性审核感兴趣。
这项研究表明，英国仍只有一小部分呼吸科中心开展医学胸腔镜检查。然而，人们对该检查的兴趣日益浓厚，同时也凸显了英国各地护理标准化、持续能力和培训方面的问题。英国胸科学会（BTS）已成立一个工作组来解决这些问题。
