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结肠镜与光镜对比,在儿童中进行结肠体力测量导管放置

Anna E Leone^1,2, Julia M J van der Zande^1,3, Shruthi Srinivas⁴

¹Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, USA.

Journal of pediatric gastroenterology and nutrition

|December 9, 2024

概括

结肠直肠测量导管的结肠镜安置优于光镜安置,用于研究儿童结肠的范围. 这种方法推用于耐火性便秘,因为更好地达到并没有增加位移风险.

科学领域:

儿科胃肠病学儿科胃肠病学
医疗器械技术医疗器械技术
诊断程序诊断程序诊断程序

背景情况:

结肠计量对于诊断儿童运动障碍至关重要.
导管放置用于结肠测量可以通过结肠镜或光镜实现.
选择最佳的放置技术会影响研究的有效性和患者的结果.

研究的目的:

为了比较结肠镜与光镜导管放置在儿科患者的结肠计量术的结果.
评估每种方法所取得的结肠研究程度和导管位移的发生率.

主要方法:

2015年5月至2022年5月期间进行的儿科结肠计量研究的回顾性审查.
纳入标准涵盖了所有使用直肠导管放置的研究.
收集的数据包括患者的人口统计,病史和导管放置细节 (技术,位置,位移).

主要成果:

结肠镜放置 (n=274) 与光镜放置 (n=208) 相比,导致显著更大的结肠范围 (上升结肠) (49%对23%,p<0.001).
接受结肠镜安置的儿童年龄较大,更频繁地被诊断出功能性便秘.
光镜安置在患有复杂疾病的儿童中更为常见,例如肠道伪阻塞或口术.
两种方法之间没有观察到导管位移频率或程度的显著差异.

结论:

结肠镜导管放置在儿童的计量学研究中提供了优越的结肠覆盖.
与光镜相比,该技术没有显示出导管位移的风险增加.
建议将结肠镜放置为儿科结肠测量仪的首选方法,特别是在耐火性便秘的情况下.

关键词:

结肠镜检查结肠镜检查光镜是指光镜.运动性运动性运动性儿科儿科儿科儿科

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