镇静结肠镜可能对检测多/腺瘤没有好处
Jie Han1,2, Rongrong Cao1, Dongshuai Su1
1Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, China.
镇静结肠镜与较低的多/腺瘤检测率 (PDR/ADR) 相关,特别是在右结肠. 需要进一步的研究来提高镇静结肠镜检查的质量.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 临床研究 临床研究
背景情况:
- 镇静结肠镜越来越多地用于患者的舒适性.
- 镇静对聚/腺瘤检测率 (PDR/ADR) 的影响仍然是持续辩论的主题.
研究的目的:
- 调查镇静结肠镜与PDR/ADR之间的关联.
- 分析镇静对PDR/ADR在不同结肠细分和多细胞数量的作用.
主要方法:
- 追溯分析了2,275次结肠镜 (293次镇静剂,1982年未镇静剂).
- 多变量逻辑回归调整为混因素 (年龄,性别,BMI等). ) 的情况.
- 对整体,右侧,横向,左侧,单个和多个PDR/ADR的评估.
主要成果:
- 镇静式结肠镜与明显较低的整体PDR/ADR (OR=0.640) 有关.
- 在右结肠 (OR=0.591) 和单个 (OR=0.659) 和多个 (OR=0.586) 息肉/腺瘤中观察到减少的PDR/ADR.
- 对于横向或左侧结肠PDR/ADR没有发现显著的关联.
结论:
- 镇静结肠镜可能不会改善,并且可能会降低整体和右侧PDR/ADR.
- 建议选择性推镇静结肠镜检查.
- 提高镇静结肠镜检查质量的策略需要进行调查.
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