单操作员单气球肠镜是安全有效的:一项为期6年的回顾性研究
Guan Jun Kou1,2,3, Chao Liu1,2,3, Yan Bo Yu1,2,3
1Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong Province, China.
Journal of digestive diseases
|July 17, 2024
概括
单操作员单气球肠镜 (SBE) 是有效和安全的诊断小肠病变. 这种方法很容易掌握,诊断产量和全肠镜率随着经验的提高而提高.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 小肠疾病 小肠疾病
背景情况:
- 单气球肠镜 (SBE) 是检测小肠病变的关键工具.
- 传统的SBE需要两名操作员,因此单个操作员方法的有效性尚不清楚.
研究的目的:
- 为了评估诊断产量,全肠镜率,手术时间和单个操作者SBE的并发症.
- 评估简化SBE技术对小肠疾病的可行性和有效性.
主要方法:
- 在2014年12月至2019年1月期间,对922名接受单操作者SBE治疗的患者进行了一项回顾性单中心研究.
- 分析诊断产量,全肠镜速率,手术时间,化深度和并发症.
- 基于操作员经验的分层分析.
主要成果:
- 总的诊断收益率为78.52% (724/922) ,整体肠镜检查率为56.10% (253/451).
- 平均手术时间为69.28分钟 (口腔) 和64.95分钟 (门).
- 更高的操作员经验与更高的诊断产量和总肠镜率相关,同时减少了手术时间. 发生了一次阴穿孔,使用内片进行管理.
结论:
- 单操作者SBE是一种安全有效的方法来诊断小肠病变.
- 该技术很容易掌握,其性能随着操作员的经验而提高.
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