四川省胸壁外科发展现状调查  

A questionnaire study investigating the current development status of chest wall surgery in Sichuan Province

作　　者：刘诚信 吴东声 周健[1] 寇瑛琍[1] 陈龙奇[1] 林锋[1] LIU Chengxin;WU Dongsheng;ZHOU Jian;KOU Yingli;CHEN Longqi;LIN Feng(Department of Thoracic Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China)

机构地区：[1]四川大学华西医院胸外科,成都610041

出　　处：《中国胸心血管外科临床杂志》2023年第11期1567-1570,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的了解四川省各级医院胸壁外科手术开展情况和发展现状,为胸壁外科在四川省的发展和推广提供参考。方法依托四川省国际医学交流促进会胸壁外科专业委员会,于2021年9月—2022年1月采用线上问卷调查的方式,收集各级医院胸壁外科手术情况、医师对胸壁外科发展的态度及建议。结果本次调查共发放问卷128份,回收有效问卷97份(75.8%)。调查结果显示,四川省内二级甲等及以上医院均已开展胸壁外科手术,总体胸壁外科手术占胸外科手术比例为14.3%,其中创伤占70.4%、胸壁肿瘤占11.6%、胸壁感染占10.5%和胸壁畸形占7.5%。三级甲等医院每年胸壁手术占胸外科手术的9.3%,以胸壁创伤和胸壁肿瘤为主;三级乙等医院占比23.1%,以胸壁创伤和胸壁肿瘤为主;而二级甲等医院占比高达50.7%,以胸壁创伤和胸壁感染为主。96.9%的医院赞成建立胸壁外科亚专业。对促进胸壁外科发展的建议有:加强交流合作(如举办学术会议、培训班等),成立胸壁外科协会、联盟,制定相应规章制度和制定相关指南、共识等。结论胸壁外科手术已在四川省各级医院开展,未来可依托胸壁外科学术协会,制定相应诊疗规范和指南、共识,以促进胸壁外科高质量发展。Objective To investigate the current development status of chest wall surgery at all levels of hospitals in Sichuan Province,as well as to provide evidence for the promotion of chest wall surgery.Methods We conducted a questionnaire study to investigate chest wall surgery at all levels of hospitals in Sichuan Province and to collect suggestions for chest wall surgery development from thoracic surgeons attending the meeting of the Sichuan International Medical Exchange&Promotion Association from September 2021 to January 2022.Results A total of 128 questionnaires were issued,with 97(75.8%)of them being valid.According to the survey results,hospitals with grade A secondary or higher in Sichuan Province performed chest wall surgery.Chest wall surgery accounted for 14.3% of thoracic surgery,with 70.4% being chest wall trauma surgeries,11.6% being chest wall tumor surgeries,10.5% being chest wall infection surgeries,and 7.5% being chest wall deformity surgeries.Chest wall surgery accounted for 9.3% of thoracic surgery in the grade A tertiary hospitals,primarily for chest wall trauma and tumor;23.1% in grade B tertiary hospitals,primarily for chest wall trauma and tumor;and 50.7% in grade A secondary hospitals,primarily for chest wall trauma and infection.Totally 96.9% of hospitals supported the establishment of a subspecialty in chest wall surgery.Suggestions for advancing chest wall surgery included:enhancing communication and cooperation(e.g.holding academic conferences,training courses),the establishment of the chest wall surgery association or consortium,and the formulation of regulations and guidelines or consensus,etc.Conclusion Chest wall surgery has been performed at all levels of hospitals in Sichuan Province.The relevant guidelines can be made based on the related academic associations,thus boosting the development of chest wall surgery in the future.

关 键 词：胸壁外科 问卷调查 胸壁疾病 学科发展 

分 类 号：R655[医药卫生—外科学]