使用内镜位置检测装置,研究结肠镜插入难度因素与内镜形状之间的关系
Takashi Kawai1, Yusuke Kawai1, Yoshika Akimito1
1Department of Gastroenterological Endoscopy, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.
结肠镜检查期间的管输液时间 (CIT) 是受西格形/下降结肠结 (SDJ) 和肝曲的导航方式的影响. 循环的形成和特定的机动显著影响程序的持续时间.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 内镜手术 进行内镜手术
背景情况:
- 结肠镜是结肠直肠疾病的关键诊断工具.
- 优化结肠镜效率,特别是腔输管时间 (CIT),对于患者的舒适性和程序的成功至关重要.
- 了解影响CIT的因素可以带来更好的内镜技术.
研究的目的:
- 调查腔输管时间 (CIT) 和导航西格形/下垂结节 (SDJ) 和肝曲的方法/形式之间的关系.
- 为了确定与长时间的CIT相关的患者特异性因素 (年龄,BMI,手术史,分泌器).
- 评估内镜位置检测单元 (UPD) 在分析这些关系中的实用性.
主要方法:
- 152名患者使用内镜位置检测装置 (UPD) 进行了结肠镜检查.
- 收集的数据包括患者的人口统计,病史和UPD记录的输管参数.
- 分析的重点是将CIT与SDJ通道模式和肝曲机动相关联.
主要成果:
- 平均CIT时间为14.3±8.2分钟.
- 长时间的CIT与年龄较大,BMI较高,前腹部手术,分流器的存在和SDJ的循环形成 (例如,拼图环状,反向α,其他循环) 相关.
- 特定的肝曲动作,特别是随着位置变化的右旋转,与较简单的动作相比,与较长的CIT有关.
结论:
- 结肠镜检查与UPD提供了对影响内输管时间的因素有价值的见解.
- 通过SDJ的通道模式和用于导航肝曲的方法是CIT的重要决定因素.
- 内镜技术和患者解剖学在结肠镜效率方面发挥着至关重要的作用.
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