在结肠镜导向结肠力学测量管放置过程中采集的粘膜活检的诊断效用
Derek G Armstrong1, Bruno P Chumpitazi2,3,4, Eric H Chiou2,3
1From the Division of Pediatric Gastroenterology, Hepatology and Nutrition, Monroe Carell Jr. Children's Hospital at Vanderbilt University, Nashville, TN.
Journal of pediatric gastroenterology and nutrition
|August 7, 2023
概括
在结肠计量时的粘膜活检是常见的,但很少影响护理. 组织病理学发现,包括炎症,与儿科患者的力度测试结果没有相关性.
科学领域:
- 胃肠病学 胃肠病学
- 儿科胃肠病学 儿科胃肠病学
- 诊断实用工具 诊断实用工具 诊断实用工具
背景情况:
- 结肠镜指导的结肠计量用于评估肠道运动性.
- 在此过程中,常规粘膜活检的诊断价值尚未得到充分证实.
研究的目的:
- 为了确定在结肠计量过程中粘膜活检的频率和组织病理学.
- 评估活检结果和测量力测结果之间的关联.
主要方法:
- 对148名接受结肠力度计 (2008-2020年) 的儿科患者进行了回顾性图表审查.
- 收集的数据包括人口统计,活检部位,组织病理学,粗体内镜检查结果和测量结果.
- 统计分析使用了奇平方和费舍尔精确测试.
主要成果:
- 在80%的患者中进行了结肠活检,在43%的患者中进行了乳腺活检.
- 常见的结肠病发现包括淋巴细胞增生 (34%) 和慢性炎症 (24%).
- 常见的阴道发现包括增加的皮耶尔补丁 (44%) 和正常的组织学 (44%).
- 在组织学或粗略发现与人测结果之间没有发现显著的关联.
结论:
- 粘膜活检经常在结肠计量时得到,但结果通常不会影响临床护理.
- 在这个儿科队列中,异常的组织病理学或粗体内镜发现与结肠测量结果没有关联.
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