纹理和色彩增强成像 (TXI) 加上内视觉与单独TXI用于结直肠腺瘤检测:一个随机对照试验
Sukit Pattarajierapan1,2, Phadungkiat Tipmanee1, Thanan Supasiri3
1Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Road, Pathumwan, Bangkok, 10330, Thailand.
Surgical endoscopy
|September 11, 2023
概括
将Endocuff Vision (ECV) 与纹理和色彩增强成像 (TXI) 结合起来,可以显著提高结肠镜检查期间腺瘤检测率 (ADR). 与单独使用TXI相比,这种组合可以改善各种腺瘤类型的检测.
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:
- 增加腺瘤检测率 (ADR) 对于减少结肠镜后结肠直肠癌至关重要.
- 纹理和色彩增强成像 (TXI) 增强内镜图像质量,以改善ADR.
- 内膜视觉 (ECV) 平坦化结肠,使粘膜暴露更好.
研究的目的:
- 评估TXI和ECV在改善ADR方面的联合疗效.
- 在接受TXI+ECV结肠镜检查的患者中比较ADR与单独使用TXI.
主要方法:
- 一项前性随机对照试验与40岁或以上的患者进行.
- 参与者被随机分为两个组:TXI + ECV和TXI单独.
- 具有高ADR的经验丰富的内镜医生进行了所有结肠镜检查;ADR是主要结果.
主要成果:
- 与TXI组 (52.1%) 相比,TXI + ECV组的ADR显著更高 (65.6%).
- 在TXI + ECV组中,每次结肠镜检查 (APC) 的腺瘤也显著增加.
- 在检测近接腺瘤,非形腺瘤和微小腺瘤方面有所改善.
结论:
- 将ECV添加到TXI中显著增强了ADR和APC.
- 将TXI与ECV结合起来是一个有前途的策略,可以提高结肠镜的有效性.
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