McPartlin D W, Nouraei S A R, Tatla T, Howard D J, Sandhu G S
Royal National Throat, Nose and Ear Hospital, Charing Cross Hospital, London W6 8RF, UK.
Clin Otolaryngol. 2005 Dec;30(6):547-50. doi: 10.1111/j.1749-4486.2005.01082.x.
Transnasal fibreoptic oesophagoscopy (TFO) allows the upper aerodigestive tract, from the nasal vestibule to the gastric cardia to be examined in the outpatients department without sedation. This permits patients with symptoms of upper aerodigestive pathology to be investigated at the initial consultation without the need for inpatient endoscopy or swallow studies. The technique is easily learned, and is statistically comparable with standard flexible nasoendoscopy in respect of procedural pain and discomfort. It is highly cost-efficient, paying for itself within 1 year, and thereafter leading to cost savings of over 80%. Its role can be expanded to encompass investigating patients with potentially malignant disease processes, as well as outpatients "panendoscopy" and biopsy, and a number of therapeutic interventions.
经鼻纤维食管镜检查（TFO）可在门诊无需镇静的情况下检查上气道消化道，范围从鼻前庭至胃贲门。这使得有上气道消化道病变症状的患者在初次会诊时就能接受检查，而无需住院进行内镜检查或吞咽研究。该技术易于掌握，在操作疼痛和不适方面与标准软性鼻内镜检查在统计学上具有可比性。它具有很高的成本效益，在1年内即可收回成本，此后可节省超过80%的成本。其作用可扩大到包括对患有潜在恶性疾病过程的患者进行检查，以及门诊“全内镜检查”和活检，还有一些治疗干预措施。
