内镜腺瘤检测率与状息肉检测率之间的关联:对超过20万次查结肠镜检查的回顾性分析
Daniela Penz1,2, Daniel Pammer1, Elisabeth Waldmann2,3
1Internal Medicine I, St. John of God Hospital Vienna, Vienna, Austria.
Endoscopy international open
|April 8, 2024
概括
较高的腺瘤检测率 (ADR) 与状息肉的检测增加相关,包括状状病变 (SSL). 这表明ADR可以作为检测这些癌前结直肠病变的质量指标.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 在瘤学瘤学.
背景情况:
- 状病变是20-35%的结直肠癌 (CRC) 的前体,也是间歇性癌症的重要原因.
- 状状病变 (SSLs),通常是平坦的和近位的,构成检测挑战.
- 状息肉检测率作为质量指标的作用与腺瘤检测率 (ADR) 一起是不清楚的.
研究的目的:
- 为了评估腺瘤检测率 (ADR) 和状息肉的检测率之间的关联.
- 确定ADR是否会影响检测状状病变 (SSL) 和其他状病变.
主要方法:
- 对212,668次查结肠镜 (2012-2018) 的回顾性分析.
- 使用斯皮尔曼相关性和曼-惠特尼U测试进行统计分析.
- 评估ADR与各种有状息肉检测率 (SDR,SPADR,SSLDR,CRSDR) 之间的相关性.
主要成果:
- 在ADR和SDR,SPADR,SSLDR和CRSDR之间观察到显著的正相关性 (所有P<0.001).
- 与ADR<25% (P<0.001) 的患者相比,ADR≥25%的内镜患者显示SDR,SPADR和CRSDR的比率明显更高.
结论:
- 较高的ADR与状病变的检测增加有关.
- 在结直肠癌查中,ADR可能是全面检测聚的有价值的质量指标.
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