肺病学中柔性鼻喉镜检查的适应证、操作标准和培训要求——一项德尔菲研究方案

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中文摘要

柔性鼻喉镜检查（FNL）是一种成熟的微创操作，用于评估鼻腔、鼻咽和喉部。其在肺病学中的作用正在扩大，特别是在评估声带功能障碍/可诱导性喉阻塞、慢性咳嗽以及与“统一气道”诊疗模式相关的其他上气道疾病方面。然而，目前尚无关于肺病科医生实施FNL的适应证、操作标准或培训要求的共识性指导。本方案描述了一项改良的两轮德尔菲研究，将通过莫纳什大学托管的在线平台，调查一个有意抽样的国际肺病科医生和耳鼻喉科医生专家组，使用五点李克特量表和预先设定的共识阈值（≥70%同意）。研究结果将在结构化的专家圆桌会议上讨论，以支持解释和情境化。• 就肺病学实践中FNL的临床适应证和禁忌证建立专家共识。• 就肺病学中FNL培训的操作标准、课程和能力要求形成共识。• 确定未来研究的优先领域，以支持将FNL整合到肺病学服务中。

英文摘要

Flexible nasolaryngoscopy (FNL) is a well-established, minimally invasive procedure for assessing the nasal passages, nasopharynx, and larynx. Its role in pulmonology is expanding, particularly for evaluating vocal cord dysfunction/inducible laryngeal obstruction, chronic cough, and other upper airway conditions relevant to the "united airways" model of care. However, no consensus-based guidance currently exists on the indications, procedural standards, or training requirements for FNL performed by pulmonologists. This protocol describes a modified two-round Delphi study that will survey an international, purposively sampled panel of pulmonologists and otolaryngologists via an online platform hosted by Monash University, using a five-point Likert scale and pre-specified consensus thresholds (≥70% agreement). Findings will be discussed in a structured expert roundtable to support interpretation and contextualization. • Establishes expert consensus on clinical indications and contraindications for FNL in pulmonology practice. • Develops consensus on procedural standards, curriculum, and competency requirements for FNL training in pulmonology. • Identifies priority areas for future research to support integration of FNL into pulmonology services.