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用于吞咽评估的一次性内窥镜检查:一项性能调查。

Single-use endoscopy for the evaluation of swallowing: a performance survey.

作者信息

Cool Christina, Haislip Ian, Escobar Christian, Mojica Jacqueline

机构信息

Ambu USA, Columbia, MD, USA.

Independent consultant.

出版信息

J Comp Eff Res. 2025 Jul;14(7):e240113. doi: 10.57264/cer-2024-0113. Epub 2025 Jun 4.

DOI:10.57264/cer-2024-0113
PMID:40464141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12224118/
Abstract

Single-use endoscopes have become of interest across a multitude of procedure types given the risk of cross-contamination and availability of scopes; the performance capability of a single-use scope has not formally been evaluated for the flexible endoscopic evaluation of swallowing (FEES) indication. The primary objective was to measure FEES procedural success with single-use rhinolaryngoscopes without the need for a secondary scope, while the secondary objective was to evaluate the overall performance and usability of the single-use platform. Twenty-three speech-language pathologists across 16 sites performed FEES procedures with the Ambu aScope 4 RhinoLaryngo Slim. After the procedures, participants completed a nine-question survey questionnaire. A five-point rating system was used to quantify scope performance. Mean ratings were calculated and a one-sample -test was performed. The primary end point of procedural success was achieved in 100% of procedures. Of the nine performance metrics captured for aScope 4 RhinoLaryngo Slim, six received a score of excellent by 100% of participants with the lowest score being a 4.2. Single-use rhinolaryngoscopes can successfully perform FEES procedures without additional scoping needed, and received high performance ratings among users. 4.

摘要

鉴于交叉污染风险和内镜的可得性,一次性使用内镜在多种手术类型中受到关注;一次性使用内镜在吞咽功能的软性内镜评估(FEES)适应症方面的性能尚未得到正式评估。主要目标是测量使用一次性鼻咽喉镜进行FEES手术的成功率,且无需使用辅助内镜,次要目标是评估一次性使用平台的整体性能和可用性。来自16个地点的23名言语病理学家使用Ambu aScope 4 RhinoLaryngo Slim进行了FEES手术。手术后,参与者完成了一份包含九个问题的调查问卷。采用五分制评分系统对内镜性能进行量化。计算平均评分并进行单样本t检验。100%的手术达到了手术成功的主要终点。在为aScope 4 RhinoLaryngo Slim记录的九个性能指标中,六个指标获得了100%参与者的优秀评分,最低分为4.2。一次性鼻咽喉镜可以成功地进行FEES手术,无需额外的内镜检查,并且在用户中获得了较高的性能评分。 4.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfba/12224118/a7835050896a/cer-14-240113-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfba/12224118/a7835050896a/cer-14-240113-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfba/12224118/a7835050896a/cer-14-240113-g1.jpg

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本文引用的文献

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Early application value of flexible laryngoscope swallowing function assessment in patients after partial laryngectomy.纤维喉镜吞咽功能评估在喉部分切除术后患者中的早期应用价值
Sci Rep. 2025 Feb 19;15(1):6040. doi: 10.1038/s41598-025-86799-x.
2
Costs involved in compliance with new endoscope reprocessing guidelines.遵守新的内镜再处理指南所涉及的成本。
Clin Endosc. 2024 Jul;57(4):534-541. doi: 10.5946/ce.2023.164. Epub 2024 Jan 26.
3
The use of videofluoroscopy (VFS) and fibreoptic endoscopic evaluation of swallowing (FEES) in the investigation of oropharyngeal dysphagia in stroke patients: A narrative review.
视频荧光吞咽造影(VFS)和纤维内镜吞咽功能评估(FEES)在脑卒中患者口咽吞咽困难检查中的应用:一项叙述性综述
Radiography (Lond). 2023 Mar;29(2):284-290. doi: 10.1016/j.radi.2022.12.007. Epub 2023 Jan 12.
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The utility of lighted magnification and borescopes for visual inspection of flexible endoscopes.带光源放大镜和管道镜在软性内镜目视检查中的应用
Am J Infect Control. 2023 Jan;51(1):2-10. doi: 10.1016/j.ajic.2022.08.026. Epub 2022 Sep 6.
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Tutorial on Clinical Practice for Use of the Fiberoptic Endoscopic Evaluation of Swallowing Procedure With Adult Populations: Part 1.成人纤维内镜吞咽功能检查临床操作指南:第 1 部分。
Am J Speech Lang Pathol. 2022 Jan 18;31(1):163-187. doi: 10.1044/2021_AJSLP-20-00348. Epub 2021 Nov 24.
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Reusable vs disposable nasopharyngolaryngoscopes: Cost analysis and resident survey.可重复使用与一次性使用的鼻咽喉镜:成本分析与住院医师调查
Laryngoscope Investig Otolaryngol. 2020 Dec 10;6(1):88-93. doi: 10.1002/lio2.500. eCollection 2021 Feb.
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Cost-effectiveness analysis of a single-use digital flexible cystoscope for double J removal.一次性使用数字式软性膀胱镜取双 J 管的成本效果分析。
Urologia. 2020 Feb;87(1):29-34. doi: 10.1177/0391560319859797. Epub 2019 Jul 8.
8
History of Fiberoptic Endoscopic Evaluation of Swallowing for Evaluation and Management of Pharyngeal Dysphagia: Changes over the Years.用于评估和管理咽吞咽困难的纤维内镜吞咽评估的历史:多年来的变化
Dysphagia. 2017 Feb;32(1):27-38. doi: 10.1007/s00455-016-9775-x. Epub 2017 Jan 18.
9
Standards for reporting qualitative research: a synthesis of recommendations.报告定性研究的标准:建议的综合。
Acad Med. 2014 Sep;89(9):1245-51. doi: 10.1097/ACM.0000000000000388.