多中心倾向得分匹配分析,比较急性血症的短大肠镜与长大肠镜
Mariko Kobayashi1, Shintaro Akiyama2, Toshiaki Narasaka1,2
1Division of Endoscopic Center University of Tsukuba Hospital Tsukuba Japan.
概括
在结肠镜检查过程中,较长的附着盖可以改善急性血的诊断和积极出血的识别,特别是在结肠分管出血 (CDB) 中. 这提高了胃肠道出血的诊断准确度.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 结肠镜使用短和长的附着盖,但它们在鉴定急性出血症中最近出血的耻辱 (SRH) 的比较有效性尚不清楚.
- 急性血液形症具有诊断挑战,需要优化内镜技术来准确确定病因.
研究的目的:
- 为了比较短与长连接盖的诊断性能,在急性血症患者中识别SRH.
- 评估帽子类型对出血病因和临床结果的诊断的影响.
主要方法:
- 对3098名患者 (1549名短帽,1549名长帽) 进行了倾向性得分匹配 (PSM) 分析,这些患者来自CODE BLUE-J研究队列中的急性血病例.
- 评估的关键结果包括最终出血病因的比例,SRH识别率,以及输血,干预,再出血和死亡率等临床结果.
主要成果:
- 长帽使用者显示出明显更高的结肠分管出血 (CDB) 诊断率 (P=0.006) 和更低的未知出血病因率 (P<0.001).
- 在长帽组中,具有活跃出血的SRH鉴定率明显高于长帽组 (P<0.001).
- 在其他临床结果中,在短帽和长帽组之间没有观察到显著的差异.
结论:
- 长帽辅助结肠镜在诊断急性血液,特别是CDB时优于短帽.
- 较长的盖子可以提高在急性血症患者的结肠镜检查期间的活跃出血的识别.
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