麻醉下检查及全腔镜检查在口腔和口咽鳞状细胞癌患者中的应用
The use of examination under anaesthesia and panendoscopy in patients presenting with oral cavity and oropharyngeal squamous cell carcinoma.
作者信息
Kerawala Cyrus J, Bisase Brian, Lee Jon
机构信息
Head and Neck Unit, The Royal Marsden Hospital, London, UK.
出版信息
Ann R Coll Surg Engl. 2009 Oct;91(7):609-12. doi: 10.1308/003588409X432446. Epub 2009 Aug 14.
INTRODUCTION
Although examination under anaesthesia and panendoscopy (EUAP) has traditionally been used in the assessment of patients presenting with oral cavity and oropharyngeal squamous cell carcinoma (SCC), the era of modern medicine with its advanced imaging techniques has meant that the indications for this technique have potentially reduced.
SUBJECTS AND METHODS
In an attempt to quantify the current use of EUAP in the UK, a structured telephone questionnaire was undertaken of 50 maxillofacial units. Information was gathered regarding whether the technique was adopted on a routine or selective basis. Likewise perceived disadvantages were sought.
RESULTS
Twenty-two units (44%) carried out EUAP on all patients presenting with oral cavity and oropharyngeal SCC. Of the remaining 28 units, all employed EUAP on a selective basis, the most commonly for the assessment of the primary tumour. The most common perceived disadvantage of carrying out EUAP routinely was its potential to increase the waiting time to definitive treatment.
CONCLUSIONS
These results suggest a gradual move towards the selective use of EUAP in patients presenting with oral cavity and oropharyngeal SCC.
引言
尽管传统上麻醉下检查及全腔镜检查（EUAP）一直用于评估口腔和口咽鳞状细胞癌（SCC）患者，但现代医学及其先进成像技术时代意味着该技术的应用指征可能减少。
对象与方法
为了量化目前英国对EUAP的使用情况，对50个颌面科室进行了结构化电话问卷调查。收集了有关该技术是常规采用还是选择性采用的信息。同样，也询问了其公认的缺点。
结果
22个科室（44%）对所有口腔和口咽SCC患者进行EUAP。其余28个科室均选择性地采用EUAP，最常用于评估原发肿瘤。常规进行EUAP最常见的公认缺点是可能会增加确定性治疗的等待时间。
结论
这些结果表明，在口腔和口咽SCC患者中，正逐渐倾向于选择性使用EUAP。
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