Schacherer D, Schütz M, Girlich C, Schölmerich J, Klebl F
Klinik und Poliklinik für Innere Medizin I der Universität Regensburg.
Dtsch Med Wochenschr. 2009 Feb;134(9):393-8. doi: 10.1055/s-0028-1124010. Epub 2009 Feb 17.
The aim of this study was to evaluate the diagnostic and therapeutic consequences arising from abnormal ultrasound findings in a multidisciplinary setting in the University of Regensburg Clinical Centre.
The results of 1162 randomly selected ultrasound examinations (on 671 males and 491 females) from a total of 14,301 at an interdisciplinary ultrasound unit were analysed. The investigators recorded the findings in a routinely used standardized manner. The records and discharge reports of each patient were then evaluated with regard to the diagnostic and therapeutic consequences of the findings.
There were 1843 abnormal findings in 901 patients. In 114 patients (6.2 %) no adequate diagnostic measures had been undertaken or recommended at discharge, but the reasons for the decisions taken could not be judged (value 4). 72.1 % of all patients were recruited from departments of internal medicine. However, the highest percentage of findings without adequate consequences were found to be in patients of the departments of oral and maxillofacial surgery, dermatology and nuclear medicine.
The number of ultrasound examinations that had been done without adequate consequences was comparatively low at 6.2 %. But perhaps this number can be further reduced by improved wording of the examination reports.
本研究旨在评估雷根斯堡大学临床中心多学科环境下超声检查异常结果所产生的诊断和治疗影响。
分析了跨学科超声科室14301例超声检查中随机抽取的1162例检查结果（其中男性671例，女性491例）。研究人员以常规使用的标准化方式记录检查结果。然后根据检查结果的诊断和治疗影响对每位患者的记录和出院报告进行评估。
901例患者中有1843项异常检查结果。114例患者（6.2%）在出院时未采取或未被建议采取适当的诊断措施，但无法判断所做决定的原因（评分为4）。所有患者中有72.1%来自内科科室。然而，在口腔颌面外科、皮肤科和核医学科患者中，未产生适当结果的检查结果所占比例最高。
未产生适当结果的超声检查数量相对较低，为6.2%。但或许通过改进检查报告的措辞可以进一步降低这一数字。
