Li S, Papsin B, Brown D H
Department of Otolaryngology, Toronto Hospital, Ontario.
J Otolaryngol. 1996 Jun;25(3):162-4.
To assess the value of routinely acquiring plain nasal radiographs in patients following nasal trauma both clinically and cost effectively.
A questionnaire was devised to determine the factors that influence physicians to order nasal x-rays and whether or not the results of these radiographs influence management.
The questionnaire was distributed to the otolaryngology staff and residents, emergency physicians, and family physicians affiliated with the University of Toronto.
Descriptive statistics were employed.
Percentages of reasons for ordering nasal x-rays and their part in treatment management.
The commonest reasons for ordering nasal x-rays in these cases included perceived severity of injury and detection of unsuspected facial fractures, as well as presumed need for medicolegal documentation.
Nasal x-rays are not of substantial medicolegal value and do not play a role in the treatment of the patient. Nasal radiographs are not a cost-effective investigation in the management of trauma to the nose, and their routine use should be abandoned.
从临床和成本效益方面评估鼻外伤患者常规拍摄鼻窦平片的价值。
设计一份调查问卷，以确定影响医生开具鼻窦X光检查的因素，以及这些X光片的结果是否会影响治疗方案。
向多伦多大学附属的耳鼻喉科工作人员及住院医师、急诊科医生和家庭医生发放问卷。
采用描述性统计方法。
开具鼻窦X光检查的原因百分比及其在治疗管理中的作用。
在这些病例中，开具鼻窦X光检查最常见的原因包括对损伤严重程度的判断、发现意外的面部骨折以及推测的医疗法律文件需求。
鼻窦X光片在医疗法律方面价值不大，对患者治疗也无作用。鼻窦X光片在鼻外伤管理中并非具有成本效益的检查手段，应摒弃其常规使用。
