与7-9相比,波士顿肠道准备量表得分6有更多的遗漏病变,而7-9有更多的遗漏病变
Jung Kim1, Ji Min Choi1, Jooyoung Lee1
1Department of Internal Medicine and Healthcare Research Institute, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea.
Scientific reports
|January 18, 2024
概括
波士顿肠道准备量表 (BBPS) 的得分为6,虽然足够,但与7-9的得分相比,在随访结肠镜检查中可能会导致更多的错过的息肉和腺瘤. 对于BBPS 6案例来说,彻底的检查至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 高质量的结肠镜取决于适当的肠道准备.
- 波士顿肠道准备量表 (BBPS) 用于评估准备质量,得分≥6通常被认为是充足的,尽管有些人建议≥7.
研究的目的:
- 为了比较聚和腺瘤检测率 (PDR/ADR) 和在基线结肠镜检查时,BBPS得分为6的患者与7-9的患者之间的数量.
- 评估基线BBPS得分对短期随访结肠镜检查结果的影响.
主要方法:
- 对2352名在3年内 (从2015年8月至2019年12月) 接受至少两次结肠镜检查的患者进行了回顾性分析.
- 根据第一次结肠镜检查 (C1) 患者被分为BBPS 6 (n=529) 和BBPS 7-9 (n=1823) 两类.
- 在C1和随访 (C2) 组之间比较了PDR,ADR和聚/腺瘤计数.
主要成果:
- 在C1或C2.2,在BBPS 6和BBPS 7-9组之间没有观察到PDR或ADR的显著差异.
- 然而,BBPS 6组在C2.2时显著增加了多 (1.84对1.56) 和腺瘤 (1.02对0.88) 的数量.
- 与BBPS 7-9组相比,BBPS 6组的细分BBPS得分为2与BBPS 7-9组的C2处较高的PDR和ADR有关.
结论:
- 在短期随访结肠镜检查中,BBPS得分为6与7-9的得分相比,在短期随访结肠镜检查中检测出更多的息肉和腺瘤有关.
- 为了最大限度地降低遗漏病变的风险,建议在结肠镜检查期间对具有BBPS分数为6的患者进行更细致的检查.
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