Fisher E W, Croft C B
Royal National Throat, Nose and Ear Hospital, London.
J Laryngol Otol. 1989 Aug;103(8):747-9. doi: 10.1017/s002221510010996x.
The use of antroscopy by otolaryngologists in the UK was assessed by means of a postal questionnaire. A response of 70 per cent was obtained. Thirty-three per cent of otolaryngologists currently perform antroscopy; the principal reason for not using the technique being lack of suitable equipment. Twenty-four per cent of non-users believed that antroscopy would not alter their management of patients, and 19 per cent of all responders thought that antroscopy had no proven clinical role. Few surgeons recognized a role for antroscopy in the treatment of antral disease. Antroscopists preferred to operate on in-patients (73 per cent), under a general anaesthetic (60 per cent) and via the inferior meatus (66 per cent); 76 per cent consider that morbidity is insignificant. There is clearly a need for studies clarifying the role of antroscopy in clinical practice and to establish the cost-effectiveness of the technique.
通过邮寄问卷调查的方式评估了英国耳鼻喉科医生使用鼻窦镜检查的情况。问卷回复率为70%。目前33%的耳鼻喉科医生会进行鼻窦镜检查;不使用该技术的主要原因是缺乏合适的设备。24%的非使用者认为鼻窦镜检查不会改变他们对患者的治疗方式,而所有回复者中有19%认为鼻窦镜检查没有经过证实的临床作用。很少有外科医生认可鼻窦镜检查在治疗鼻窦疾病中的作用。进行鼻窦镜检查的医生更倾向于对住院患者进行手术(73%),采用全身麻醉(60%)并通过下鼻道进行操作(66%);76%的人认为并发症发生率很低。显然有必要开展研究以阐明鼻窦镜检查在临床实践中的作用,并确定该技术的成本效益。