在例行结肠镜检查中不需要终端内管:来自一项大规模回顾性研究的数据
Shunqing Shu1, Chen Zhang2, Liu Liu2
1Department of Gastroenterology, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
终端内输管 (TII) 在例行结肠镜检查中没有提高聚体检测率. 这项研究发现TII提供了有限的诊断价值,并且在检测右结肠中病变方面并不优越.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠癌查 结肠直肠癌查
背景情况:
- 通过终端叶输管 (TII) 实现完全结肠镜检查.
- 在结肠镜检查中常规TII的必要性仍在争论中.
- 诊断产量和TII对病变检测的影响需要进一步调查.
研究的目的:
- 在例行结肠镜检查中评估TII的诊断产量.
- 评估TII与结直肠病变检测之间的关联.
- 为了比较多,腺瘤和带有和没有TII的状形病变的检测率.
主要方法:
- 对13372名接受结肠镜检查的患者进行了回顾性研究.
- 分析终端大肠的宏观和组织学发现.
- 倾向性得分匹配 (PSM) 用于比较TII和非TII组之间的结果.
主要成果:
- 在PSM后的组之间,聚检测率 (PDR),腺瘤检测率 (ADR) 或状状病变检测率 (SSDR) 没有显著差异.
- 类似的病变检测率在右侧结肠,阴和上升结肠.
- 末端结核中异常的内镜检测结果很少见,而且不经常具有病理意义.
结论:
- 在例行结肠镜检查中,终端内输管 (TII) 不是必需的.
- 在未被选择的患者中,TII提供了有限的诊断价值.
- 与标准结肠镜相比,常规TII并不能提高结肠直肠病变的检测.
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