同一天和预约结肠镜在不充分的肠道清洁的结果;一个随机对照试验
Uğur Özsoy1, Murat Yıldırım1, Emin Daldal2
1Department of General Surgery, Tokat Gaziosmanpaşa University Faculty of Medicine, Tokat, Türkiye.
Turkish journal of surgery
|February 27, 2025
概括
与重新安排相比,在同一天重复结肠镜检查可以提高肠道清洁质量和内输管率. 这种当天的方法对于由于肠道准备不足而需要重复结肠镜检查的患者来说是一个安全有效的选择.
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:
- 肠道清洁不足是结肠镜检查期间常见的问题.
- 准备不足可能导致错过的病变和重复手术的需要.
研究的目的:
- 为了比较同一天重复结肠镜检查的疗效和安全性,与对肠道清洁不足的患者重新安排的程序进行比较.
主要方法:
- 一项前性随机受控研究包括80名肠道准备不足的患者.
- 患者被随机分配到同一天重复结肠镜检查或重新安排程序.
- 用波士顿肠道准备量表 (BBPS) 评估了肠道准备质量.
主要成果:
- 同一天的小组显示出明显更高的内输管率 (p=0.022).
- 与预约组 (6.89±2.23) (p=0.03) 相比,同一天组 (7.9±1.79) 的总BBPS得分明显更好.
- 两组之间没有观察到程序耐受性的显著差异.
结论:
- 同一天重复结肠镜检查是改善肠道准备质量的有效策略.
- 这种方法是安全的,可以推给需要重复结肠镜检查的患者,因为不充分的清洁.
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