在结肠镜检查期间,观察到在上升结肠缺失的腺瘤上观察到的回曲的有效性:一个前性的,随机的,试点试验
Cheng-Long Wang1,2, Zi-Ye Zhao1, Jia-Yi Wu3
1Department of Colorectal Surgery and GI Endoscopy Center, Naval Medical University First Affiliated Hospital (Changhai Hospital), Shanghai, China.
在这项试点研究中,结肠镜检查期间的Cecal retroflexion并没有减少上升结肠中错过的腺瘤. 需要进一步的研究来证实这些关于腺瘤检测率的发现.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠癌查 结肠直肠癌查
背景情况:
- 结肠镜逆是有效的减少错过的腺瘤.
- 有限的研究存在于它的有效性在上升结肠.
- 这项研究解决了对Cecal retroflexion对上升结肠腺瘤检测的影响理解的差距.
研究的目的:
- 调查结肠镜检查期间的形逆是否能减少上升结肠中的遗漏腺瘤.
- 为了比较标准结肠镜检查和结肠镜检查与背逆转的结肠镜检查之间的腺瘤错过率.
主要方法:
- 这是一项随机对照试验,比较标准结肠镜检查与上升结肠中形逆.
- 55名45-80岁的患者被随机 (1:1) 分为试验和对照组.
- 主要结果:腺瘤错误率;次要结果包括检测率和手术时间.
主要成果:
- 两组之间腺瘤错误率没有统计学上显著的差异.
- 患者和结肠镜手术的特征在各组之间是相似的.
- 在聚或腺瘤检测率方面没有发现显著差异.
结论:
- 这项试点试验没有证明 cecal retroflexion 对减少上升结肠中遗漏腺瘤的益处.
- 需要进一步进行具有更高证据水平的前性研究.
- 研究结果表明,目前的技术可能足够,或者在这个领域,逆向曲需要改进.
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