与标准结肠镜相比,Endocuff视觉辅助结肠镜显著改善了腺瘤检测,在较短的退出时间内显著改善了腺瘤检测:一项随机对照试验
Duc Trong Quach1,2, Thu Anh Nguyen3, Mai Ngoc Luu1,2
1Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Digestion
|January 19, 2025
概括
与标准结肠镜检查 (SC) 相比,Endocuff视觉辅助结肠镜检查 (EC) 显著改善了越南患者的结肠直肠腺瘤检测率和每次检查的腺瘤数量. 这种增强的查方法在更短的时间内提供了更好的结果.
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:
- 关于Endocuff视觉辅助结肠镜 (EC) 在亚洲人群中的有效性存在有限的数据.
- 之前在西方国家进行的研究表明,EC可以提高腺瘤检测率 (ADR).
研究的目的:
- 评估EC在检测越南患者中的结直肠腺瘤方面的表现.
- 为了在越南人群中比较EC与标准结肠镜检查 (SC).
主要方法:
- 在越南,一项随机对照试验与476名参与者进行.
- 患者被随机分配到EC组或SC组.
- 主要结局是腺瘤检测率 (ADR);次要结局包括每次手术的平均腺瘤 (MAP),腔输管和停药时间.
主要成果:
- 与SC组相比,EC组的ADR (35.7%与22.6%) 和MAP (0.68与0.39) 显著更高.
- 在EC群体中,戒备时间显著缩短 (266s vs 360s).
- 输入管的持续时间在各组之间是可比的.
结论:
- 与SC相比,EC显著增加了越南患者的ADR和MAP.
- 结肠镜可能是一个更有效的结肠镜查工具,减少检查时间.
- 在这种人群中,EC是改善结肠镜查的有希望的选择.
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