结肠镜插入的单人技术和双人技术的比较:一个随机对照试验
Haegwang Shin1, Jung Wan Choe1, Seung Young Kim1
1Department of Internal Medicine, Korea University Ansan Hospital, Ansan-si 15344, Republic of Korea.
Journal of clinical medicine
|June 19, 2024
概括
结肠镜检查的双人技术 (TPT) 与标准的单人技术 (OPT) 相比,可以提高患者的舒适度,减少内镜师的疲劳,而不会影响腺瘤检测率等关键性能指标.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 医疗程序优化 医疗程序优化
背景情况:
- 一人技术 (OPT) 是结肠镜插入的标准.
- 双人技术 (TPT) 可能比OPT有优势.
- 这项研究旨在比较TPT和OPT的性能.
研究的目的:
- 评估两人技术 (TPT) 与结肠镜检查中的一人技术 (OPT) 的性能.
- 评估关键质量指标和患者/内镜医生的经验.
主要方法:
- 在204名患者中,前性随机研究比较了OPT和TPT.
- 由六位具有不同技能水平的内镜师执行的程序.
- 主要终点:腺瘤检测率,内输管率,插入/总时间. 二级:患者/内镜师的耐受性.
主要成果:
- 在OPT和TPT之间,腺瘤检测率,腔输管或手术时间没有显著差异.
- 患者报告TPT的疼痛得分较低.
- 用TPT显著降低了内镜员疲劳 (FACIT-F).
结论:
- 双人结肠镜技术在技术上或临床上并不劣于单人结肠镜技术.
- TPT提高了患者的耐受性,并减少了内镜员的疲劳.
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