优秀的肠道准备质量不优于良好的肠道准备质量,以提高腺瘤/多体检测率
Yingchao Li1,2, Fanjun Meng1, Rongrong Cao1
1Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, China.
Clinical Medicine Insights. Oncology
|February 9, 2024
概括
实现良好的肠道准备可以显著提高结肠镜检查期间腺瘤/多胞胎检测率 (ADR/PDR). 虽然与良好的准备相比,优秀的准备没有进一步增加ADR/PDR,但不良准备与较低的检测率有关.
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:
- 高质量的结肠镜取决于适当的肠道准备.
- 优秀的肠道准备对腺瘤/息肉检测率 (ADR/PDR) 的影响也在争论中.
研究的目的:
- 评估不同肠道制备品质与ADR/PDR之间的关联.
- 在结肠镜患者中确定影响ADR/PDR的因素.
主要方法:
- 对1232名接受结肠镜检查的患者进行了回顾性审查.
- 使用波士顿肠道准备量表对肠道准备质量的分类 (优秀,好,差).
- 跨组ADR/PDR和多数的比较;物流回归分析.
主要成果:
- 与不良的准备相比,良好的肠道准备与显著更高的ADR/PDR和多细胞数量有关.
- 良好的肠道准备与不良的肠道准备相比,在ADR/PDR或息肉数量上没有显著差异.
- 良好的准备和优秀的准备都与较低的准备相比,独立地与较高的ADR/PDR相关.
结论:
- 良好的肠道准备质量对于优化结肠镜检查期间腺瘤/息肉检测至关重要.
- 追求"优秀"的肠道准备并没有在ADR/PDR中比"好"的准备提供额外的好处.
- 肠道准备质量不佳显著损害了腺瘤/多的检测.
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