摘要
目的调查目前慢性鼻窦炎(CRS)鼻窦CT报告对临床诊疗关注的鼻窦病变和解剖变异(或异常)的描述情况,并对描述较少的病变和解剖变异(或异常)进行总结分析,提高报告质量。方法于2020年3月在全国范围内对书写鼻窦CT报告医师通过电子问卷调查鼻窦CT报告描述鼻腔鼻窦病变和解剖变异(或异常)的情况,并比较分析不同级别医院、职称、工作年限、亚专业以及不同学历的医师对这些病变和解剖变异(或异常)描述的情况。结果共获有效问卷6525份。分别有97.7%、97.7%和92.8%报告医师在报告中描述鼻窦腔内黏膜增厚、鼻甲肥大或鼻中隔偏曲、鼻窦内占位性病变,居前三位;仅35.0%、26.9%和22.5%报告医师在报告中描述额隐窝狭窄或密度增高影、圆孔或翼管骨质缺损以及筛前/后动脉管位置,居后三位。对于描述较少的易导致手术并发症或术后复发的解剖变异(或异常),三级医院、头颈部放射专业、高级职称和工作30年以上医师在报告中对这些描述比例显著高于其他医师(P<0.05)。结论CRS鼻窦CT报告对鼻窦内病变描述较好,而对部分易造成手术并发症或术后复发的解剖变异(或异常)关注较少,需采取相应措施提高报告质量。
Objective To investigate the contents of paranasal sinus CT reports about clinically pertinent lesions and anatomic variations in patients with chronic rhinosinusitis and analyze the lesions and the anatomic variations less described in CT reports to improve the quality of paranasal sinus CT reports.Methods A national questionnaire survey on radiologists interpreting paranasal sinus CT was conducted online in March,2020.Questions were focused on the frequency of the lesions or anatomic variations of the paranasal sinuses described in paranasal sinus CT reports,and the results were analyzed and compared among radiologists by different levels of the hospital,professional titles,years of CT reading experience,subspecialties,and education backgrounds.Results A total of 6525 valid questionnaires were obtained,in which 97.7%,97.7%,and 92.8%of radiologists described mucosal thickening,hypertrophy of turbinate or deviation of the nasal septum,and space occupying lesions within paranasal sinuses in CT reports,respectively.Only 35.0%,26.9%,and 22.5%of radiologists described frontal recess lesions,dehiscence of foramen rotundum or pterygoid canal,and anterior/posterior ethmoid artery anatomy in CT reports,respectively.The anatomic variations that predisposed patients to major surgical complications or recurrent rhinosinusitis were more frequently documented in CT reports by radiologists with experience of head and neck radiology,senior titles or more than 30 years of radiological experience in tertiary hospitals than other radiologists.Conclusions Lesions within the paranasal sinus were almost documented in all paranasal sinus CT reports.However,the anatomic variations that predisposed patients to major surgical complications or recurrent rhinosinusitis were infrequently described,which needs to be optimized by improving the quality of paranasal sinus CT reports.
作者
李晴
李静
李铮
金杉杉
陈捷
鲜军舫
中华医学会放射学分会头颈学组
Li Qing;Li Jing;Li Zheng;Jin Shanshan;Chen Jie;Xian Junfang;Head and Neck Group Chinese Society of Radiology Chinese Medical Association(Department of Radiology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Beijing Institute of Ophthalmology,Beijing Tongren Hospital,Capital Medical University,Beijing 100005,China;Epidemiology Research Institute of People′s Hospital,Peking University,Beijing 100044,China;不详)
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2021年第3期231-238,共8页
Chinese Journal of Radiology
基金
北京市医院管理局临床医学发展专项(ZYLX201704)
北京市医院管理中心“登峰”计划专项(DFL20190203)。
