评估年轻患者在初始灵活标志镜检查后进行结肠镜检查的必要性指导方针,患有出口型直肠出血
Philip F Bagshaw1, Anita S Tuck1, Jaana M Aramowicz1
1Canterbury Charity Hospital Trust, Christchurch, Aotearoa, New Zealand.
灵活的西格莫多斯科比标准可靠地预测了年轻的直肠出血患者的后续结肠镜检查的需要. 这些标准是基于初步的灵活晶体镜检查结果,可以在常规的临床实践中安全地使用.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠癌查 结肠直肠癌查
- 诊断内镜检查 诊断内镜检查
背景情况:
- 年轻的结直肠癌发病率正在上升,由于缺乏查,经常出现结直肠出血.
- 灵活的半导体镜是适合在50岁以下的患者中检查直肠出血的初始检查,因为大多数癌症都是左侧的.
研究的目的:
- 建立可靠的标准,以确定哪些患者需要在出口型直肠出血的初始灵活西格米多斯科普后进行全结肠镜检查.
主要方法:
- 结肠镜检查结果与经过灵活的西格莫视镜检查后进一步调查的已确定的指示进行了比较.
- 包括57岁以下的患者,出门类型的直肠出血,他们接受了灵活的半导体镜和结肠镜.
- 结肠镜检查的确定的指示:晚期腺瘤,3+管状腺瘤,状状病变,或20+多个多.
主要成果:
- 该研究分析了66名患者 (43名男性,23名女性,平均年龄为39.5岁) 的完整数据.
- 灵活的西格莫多斯科普标准显示,检测近位高风险病变的灵敏度为76.9%,特异性为67.9%,负预测值为92.3%.
结论:
- 基于灵活的西格莫视镜检查结果的后续结肠镜检查的标准对于患有直肠出血的年轻患者来说是可靠的.
- 这些标准可以整合到常规的临床实践中,强调需要持续的审计.
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