与光学活检相比,转诊活检的诊断准确性在大型非踏脚的结肠直肠息肉中
Yuri Gorelik1, Alexander Korytny2, Tarek Arraf2
1Department of Gastroenterology, Rambam Health Care Campus, HaAliya HaShniya St 8, 3109601, Haifa, Israel. y_gorelik@rambam.health.gov.il.
在内镜粘膜切除 (EMR) 之前进行转诊活检,以检测大型非形结直肠多体 (LNPCPs),并不能提高诊断的准确性. 仅光学评估比使用转诊活检更准确,特别是在检测某些聚类型和癌症时.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 大肠直肠癌查检查
背景情况:
- 内镜粘膜切除 (EMR) 对于大型非踏板结直肠多瘤 (LNPCPs) 是有效的.
- 转诊活检通常在EMR之前进行,但可能会产生不良影响.
- 转诊活检与光学评估的诊断准确性需要评估.
研究的目的:
- 与光学评估和最终的息肉病理学相比,评估转诊活检的诊断准确性.
- 评估转诊活检对EMR程序结果的影响.
主要方法:
- 来自两个中心的LNPCPs (2017-2022) 成年患者接受EMR的队列研究.
- 使用NICE分类系统进行光学息肉评估.
- 将转诊活检和光学评估与最终组织病理学对比的程序结果和诊断准确性进行比较.
主要成果:
- 在605个EMR中,398个 (65.8%) 包括转诊活检;这些息肉较大.
- 没有发现切除率,出血或复发的显著差异.
- 光学评估显示,与最终组织学一致性更高 (卡帕0.62与0.55相比),与转诊活检相比,对状状多/超塑性多和癌症检测的灵敏度更好.
结论:
- 转诊活检不会提高LNPCP的诊断准确性.
- 转诊活检可能会降低光学评估的准确性.
- 仅仅是光学评估就足够了,对于LNPCP来说,它可能更准确.
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