[第二次前视结肠镜检查的有效性,以改善右侧结肠腺瘤检测:系统审查和元分析]
Hyun Jung Kim1, Hyuk Yoon2, Jung Won Lee3
1Institute for Evidence-based Medicine, College of Medicine, Korea University, Seoul, Korea.
与标准的前视图 (OFV) 相比,第二次前视图 (SFV) 结肠镜显著提高了右结肠腺瘤检测率 (ADR). 这一系统审查证实了SFV的存在.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 预防癌症 预防癌症
背景情况:
- 在右结肠中的腺瘤检测率 (ADR) 仍然是标准结肠镜检查中的挑战.
- 建议进行第二次前性结肠镜检查 (SFV) 来增强ADR,但强有力的证据有限.
研究的目的:
- 系统地审查和分析SFV结肠镜在改善ADR方面的疗效,与一个前性观点 (OFV) 相比.
主要方法:
- 在Medline,Embase和Cochrane图书馆进行了系统的文献搜索,直到2024年9月.
- 包括10项涉及5886名患者的研究.
- 使用STATA 18.0.0进行统计分析.
主要成果:
- 与OFV相比,SFV结肠镜显著增加了右结肠的合并ADR (RR 1.25;95% CI,1.13-1.38) 与OFV相比.
- 右侧多检测率和整体结肠ADR也与SFV.显著高.
- 在大多数分析中观察到的异质性很低.
结论:
- SFV结肠镜检查是改善右结肠ADR的有效方法.
- 这种技术在结肠癌查方面提供了宝贵的进步.
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