内镜颅底外科的工效学：系统评价。
Ergonomics of Endoscopic Skull Base Surgery: A Systematic Review.
机构信息
Department of Neurosurgery, University of California, Irvine, Orange, California, USA.
Department of Neurosurgery, University of California, Irvine, Orange, California, USA; Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, Orange, California, USA.
出版信息
World Neurosurg. 2021 Feb;146:150-155. doi: 10.1016/j.wneu.2020.11.026. Epub 2020 Nov 12.
OBJECTIVE
There has been a significant expansion in endonasal endoscopic skull base surgery (EES) that has been used to address a wide range of intracranial and sinonasal pathologies. Although there exists a large amount of literature on approaches and patient outcomes, there is a paucity of data describing ergonomics in this field. Our goal was to evaluate and summarize the literature on ergonomics in EES.
METHODS
We systematically reviewed all published, peer-reviewed, English language literature in the PubMed and Web of Science databases as screened by multiple reviewers describing ergonomics as related to EES.
RESULTS
A total of 50 articles were found that described significant conclusions and descriptions on ergonomics in EES. We found and summarized the different technical aspects of ergonomics as pertaining to EES and provided evidence-based suggestions on operating room and surgeon setup.
CONCLUSIONS
There are several improvements in EES ergonomics that can decrease fatigue, improve efficiency, and overall surgeon well-being.
目的
经鼻内镜颅底手术（EES）得到了广泛应用，可用于治疗多种颅内和鼻旁窦疾病，其应用范围显著扩大。尽管有大量关于手术入路和患者预后的文献，但关于该领域人机工程学的数据却很少。我们的目标是评估和总结 EES 人机工程学的文献。
方法
我们通过多位评审员筛选，在 PubMed 和 Web of Science 数据库中系统地检索了所有已发表的同行评审的英文文献，这些文献都描述了与 EES 相关的人机工程学内容。
结果
共发现 50 篇文章，这些文章对 EES 中的人机工程学提出了重要的结论和描述。我们发现并总结了与 EES 相关的人机工程学的不同技术方面，并提供了关于手术室和外科医生设置的基于证据的建议。
结论
EES 人机工程学方面有许多改进，可以减少疲劳，提高效率，提高外科医生的整体幸福感。
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