Sharma Alok, Price Tim, Mierzwa Kathleen, Montgomery Paul, Qayyum Asad, Bradnam Tim
Department of Otorhinolaryngology, Norfolk & Norwich University Hospital, Norwich, UK.
J Laryngol Otol. 2006 Jan;120(1):24-31. doi: 10.1017/S0022215105004731. Epub 2005 Nov 25.
The aim of this study was to evaluate the patient's experience of transnasal flexible laryngo-oesophagoscopy under local anaesthetic in an out-patient setting. This was a clinical observational study using a patient questionnaire and visual analogue score. Subjects were 50 patients seen in the hospital's ENT outpatient clinic between March and August 2004 in whom transnasal flexible laryngo-oesophagoscopy was performed and who completed pain discomfort questionnaires. Any patient undergoing transnasal flexible laryngo-oesophagoscopy, for either diagnostic or therapeutic purposes, was included in the study. Patients in whom transnasal flexible laryngo-oesophagoscopy was not necessary as part of their investigation or treatment were excluded. Patients completed a questionnaire, providing a simple visual analogue score for discomfort during the procedure. Any operative complications were noted by the surgeon. All patients completed transnasal flexible laryngo-oesophagoscopy, and the upper aerodigestive tract was clearly visualized. The procedure is well tolerated, with mean score of <1 out of 10 for all forms of discomfort. There was a complication rate of 2 per cent (one patient with epistaxis); no other complications occurred. Transnasal flexible laryngo-oesophagoscopy is a new diagnostic and therapeutic technique which is well tolerated by patients. It compares favourably with other flexible endoscopic techniques. This report documents for the first time a detailed description of patients' experience of this technique.
本研究的目的是评估患者在门诊环境下接受局部麻醉的经鼻柔性喉-食管镜检查的体验。这是一项使用患者问卷和视觉模拟评分的临床观察性研究。研究对象为2004年3月至8月期间在医院耳鼻喉科门诊就诊的50例患者，这些患者接受了经鼻柔性喉-食管镜检查并完成了疼痛不适问卷。任何因诊断或治疗目的接受经鼻柔性喉-食管镜检查的患者均纳入研究。作为其检查或治疗一部分而不需要进行经鼻柔性喉-食管镜检查的患者被排除。患者完成一份问卷，为检查过程中的不适提供一个简单的视觉模拟评分。外科医生记录任何手术并发症。所有患者均完成经鼻柔性喉-食管镜检查，上呼吸道消化道清晰可见。该检查耐受性良好，所有形式的不适平均评分为10分制中的不到1分。并发症发生率为2%（1例鼻出血患者）；未发生其他并发症。经鼻柔性喉-食管镜检查是一种新的诊断和治疗技术，患者耐受性良好。与其他柔性内镜技术相比具有优势。本报告首次详细描述了患者对该技术的体验。
