Levin D C, Flanders S J, Spettell C M, Bonn J, Steiner R M
Department of Radiology, Jefferson Medical College, Philadelphia, PA 19107, USA.
Radiology. 1995 Jul;196(1):51-4. doi: 10.1148/radiology.196.1.7784588.
To determine the relative degree of participation by radiologists and other specialists in percutaneous interventional procedures.
By using 1992 Medicare Part B claims data that covered seven states, the specialty of the physician provider was determined for all services performed within various percutaneous vascular and nonvascular interventional procedure codes.
Radiologists' performance of interventional procedures in descending percentage of participation was as follows: renal cyst aspiration (92.7%), biliary decompression (90.5%), abdominal or retroperitoneal mass biopsy (87.7%), lung or mediastinal biopsy (84.2%), noncardiac angioplasty (76.8%), pancreatic biopsy (75.2%), upper urinary tract decompression (73.7%), liver biopsy (43.7%), renal biopsy (38.4%), certain types of abscess drainages (38.2%), and thoracentesis with tube insertion (29.4%). They had only small roles in thoracentesis for aspiration (4.7%) and tube thoracostomy (1.7%).
Despite controversy between radiologists and other specialists over who should perform percutaneous interventions, radiologists have maintained strong predominance in many types of these procedures. In others, they have a shared, but still major, role.
确定放射科医生和其他专科医生在经皮介入手术中的相对参与程度。
利用1992年涵盖七个州的医疗保险B部分索赔数据，确定了各种经皮血管和非血管介入手术代码下所提供的所有服务的医生提供者的专业。
放射科医生参与介入手术的比例从高到低依次为：肾囊肿穿刺抽吸术（92.7%）、胆道减压术（90.5%）、腹部或腹膜后肿块活检（87.7%）、肺或纵隔活检（84.2%）、非心脏血管成形术（76.8%）、胰腺活检（75.2%）、上尿路减压术（73.7%）、肝活检（43.7%）、肾活检（38.4%）、某些类型的脓肿引流（38.2%）以及胸腔置管穿刺术（29.4%）。他们在胸腔穿刺抽吸术（4.7%）和胸腔造口术（1.7%）中作用较小。
尽管放射科医生和其他专科医生在应由谁进行经皮介入方面存在争议，但放射科医生在许多此类手术中仍保持着强大的主导地位。在其他手术中，他们也有共同但仍占主要的作用。
