用于体大小测量的内镜绳:一个多中心试点研究的多中心试点研究
Yi-Fei Huang1, Sheng-Juan Hu2, Yang Bu2
1Institute of Portal Hypertension, The First Hospital of Lanzhou University, Lanzhou 730000, Gansu Province, China.
World journal of gastrointestinal endoscopy
|September 25, 2023
概括
内镜统治器是一种安全且可行的设备,用于测量肝硬化患者的食道静脉. 它显示了与内镜师的中度一致,以及对诊断大变节的实质性观察者间一致.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
- 临床测量 临床测量
背景情况:
- 肝硬化和门高血压经常导致食道静脉 (OV).
- 准确测量OV大小对于风险分层和治疗决策至关重要.
- 目前用于评估OV大小的方法可能是主观的.
研究的目的:
- 评估新型内镜绳子装置的可行性和安全性.
- 评估内镜绳测量和内镜师对大型OV的评估之间的一致性.
- 确定观察者之间的协议,以使用内镜规则来诊断大OV.
主要方法:
- 涉及120名肝硬化患者的前性研究,这些患者接受了用内镜统治器进行食道胃管腺镜术 (EGD).
- 主要结局:成功测量了水的大小.
- 二次结果:不良事件,操作时间,与内镜师的协议和观察者之间的协议.
主要成果:
- 在所有120名患者中,Endoscopic Ruler成功地使用,没有任何不良事件.
- 平均操作时间为3分钟.
- 在内镜统治器和内镜师之间发现了适度的协议 (kappa=0.52),用于识别大型OV.
- 在使用Endoscopic Ruler的观察者中观察到实质性的协议 (kappa=0.77).
结论:
- 内镜统治器是一种可行且安全的工具,用于测量肝硬化患者的食道静脉.
- 这种设备有可能提高OV的两级分类系统的一致性.
- 用内镜绳进行客观测量可能会改善临床实践,用于管理患有门性高血压的患者.
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