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【文摘发布】7-3 经鼻食道镜检查记录的困境
The Transnasal Esophagoscopy Documentation Dilemma.
Garner, Justin MD; Schweinfurth, John MD; May, Warren PhD; Faust, John MD
Institution From the Departments of Otolaryngology and Communicative Sciences (j.m.g., j.m.s.), Preventive Medicine (w.l.m.), and Radiology (j.f.), University of Mississippi Medical Center, Jackson, Mississippi, U.S.A.
Laryngoscope. 117(7):1143-1145, July 2007.
Abstract Objective: To determine radiographically the anatomic length difference between the nasal and oral aerodigestive tracts and to clarify gaps in the literature regarding standardized landmark measurements and documentation techniques in transnasal esophagoscopy, as opposed to traditional transoral esophagoscopy.
Study Design: This is a prospective radiographic cohort study.
Methods: Digital computerized tomography measurement techniques were used to determine the difference in length between the nasal and oral aerodigestive tracts. Using sagittal plane images from consecutive patients, the mean nares-cricoid (NC) distance, upper incisor-cricoid (IC) distance, and their mean differences were determined. Male, female, and overall distances and differences were calculated. Standard deviations, 95% confidence intervals, and 90% prediction intervals were also calculated. Mean difference data were applied to reported standard oral esophagoscopy landmark measurements to convert to standard landmark measurements from the nares.
Results: Overall mean NC and IC distances were 175.4 mm and 147.5 mm, respectively. For males, these mean distances were 185.5 mm and 155.0 mm, respectively. For females, these mean distances were 165.3 mm and 140.0 mm, respectively. Overall mean NC to IC difference was 27.9 mm. The mean NC to IC difference for males and females was 30.5 mm and 25.2 mm, respectively.
Conclusions: Historically, landmark and report measurements in esophagoscopy have been measured and standardized from the upper incisor. This study demonstrates and clarifies the inherent anatomic length difference of the nasal and oral aerodigestive tracts and the resultant documentation dilemma produced by transnasal esophagoscopy techniques. These data provide easy conversion of esophagoscopy measurements reported from the incisors or nares, providing better communication between endoscopists of different disciplines and techniques. 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 7-3 经鼻食道镜检查记录的困境
The Transnasal Esophagoscopy Documentation Dilemma.
Garner, Justin MD; Schweinfurth, John MD; May, Warren PhD; Faust, John MD
Laryngoscope. 117(7):1143-1145, July 2007.
《喉镜》
Abstract
摘要
Objective: To determine radiographically the anatomic length difference between the nasal and oral aerodigestive tracts and to clarify gaps in the literature regarding standardized landmark measurements and documentation techniques in transnasal esophagoscopy, as opposed to traditional transoral esophagoscopy.
目的：因为反对传统的经口食道镜检查，本研究确定放射影像学上呼吸消化道起始端鼻腔和口腔之间的解剖长度差异，并阐明文献报道的关于其间隙标准化的界标测量和经鼻食道镜记录技术。
Study Design: This is a prospective radiographic cohort study.
研究设计：该研究是一项前瞻性放射学队列研究。
Methods: Digital computerized tomography measurement techniques were used to determine the difference in length between the nasal and oral aerodigestive tracts. Using sagittal plane images from consecutive patients, the mean nares-cricoid (NC) distance, upper incisor-cricoid (IC) distance, and their mean differences were determined. Male, female, and overall distances and differences were calculated. Standard deviations, 95% confidence intervals, and 90% prediction intervals were also calculated. Mean difference data were applied to reported standard oral esophagoscopy landmark measurements to convert to standard landmark measurements from the nares.
方法：数字化计算机控制体层摄影测量技术被用来确定呼吸消化道起始端鼻腔和口腔之间的解剖长度差异。从患者获得的矢状面连续影像、平均鼻孔－环状软骨间距、上切牙－环状软骨间距、并确定它们的平均差。计算男性、女性和所有间距及差异。并计算标准差、95％可信区间和90％的预测区间。平均差数据资料被用来报道将标准的口腔食道镜检查界标测量转化为从鼻腔的标准界标测量。
Results: Overall mean NC and IC distances were 175.4 mm and 147.5 mm, respectively. For males, these mean distances were 185.5 mm and 155.0 mm, respectively. For females, these mean distances were 165.3 mm and 140.0 mm, respectively. Overall mean NC to IC difference was 27.9 mm. The mean NC to IC difference for males and females was 30.5 mm and 25.2 mm, respectively.
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作者:admin@医学,生命科学 2011-03-24 21:21
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