Lawson G M, Nutton R W
Department of Orthopaedics, Western General Hospital, Edinburgh, UK.
J R Coll Surg Edinb. 1995 Apr;40(2):135-7.
A prospective audit of 321 patients (325 knees) placed on the waiting list for arthroscopy revealed an accuracy of the preoperative diagnosis of 57%. The accuracy of consultants was 71% and the other grades of staff was 49%. The operation treated a pathological lesion and was considered to be therapeutic in 154 knees (47%); an operation was more likely to be therapeutic when the preoperative diagnosis was correct (132 knees) than when the diagnosis was incorrect (22 knees). Attention to establishing an accurate preoperative diagnosis and close supervision of the waiting lists by consultants will reduce the number of non-therapeutic arthroscopies.
对321名（325个膝关节）等待关节镜检查的患者进行的前瞻性审计显示，术前诊断的准确率为57%。顾问医生的准确率为71%，其他级别工作人员的准确率为49%。手术治疗了病理性病变，154个膝关节（47%）被认为具有治疗作用；术前诊断正确时（132个膝关节）手术更有可能具有治疗作用，而诊断错误时（22个膝关节）则不然。重视术前准确诊断以及顾问医生对等待名单的密切监督将减少非治疗性关节镜检查的数量。
