在麻醉辅助结肠镜中较低腺瘤检测率:一项回顾性研究
Chang Cai1, Zhihua Xu1, Bin Ye1
1Department of Gastroenterology, The Fifth Affiliated Hospital of Wenzhou Medical University and Lishui Municipal Central Hospital, Lishui, China.
与无助手术相比,麻醉辅助结肠镜没有改善腺瘤检测率 (ADR). 非辅助结肠镜显示了较高的ADR,这表明麻醉辅助对检测癌前多的益处有限.
科学领域:
- 胃肠病学和内镜检查
- 改善临床质量 改善临床质量
背景情况:
- 麻醉辅助 (AA) 结肠镜越来越多地被使用.
- 有关AA对结肠镜质量,特别是腺瘤检测的影响存在担忧.
研究的目的:
- 评估麻醉辅助对腺瘤检测率 (ADR) 和聚检测率 (PDR) 的影响.
- 为了比较AA和非AA结肠镜之间的多体特征 (位置,大小).
主要方法:
- 对2023年进行的16465次结肠镜检查的回顾性分析.
- 倾向分数匹配 (PSM) 创建了可比的AA和非AA组 (每组6094个案例).
- 组之间的ADR,PDR和聚特征的比较.
主要成果:
- 非AA结肠镜检查显示,ADR (36.94%) 比AA结肠镜检查 (26.40%) 高得多 (p<0.0001).
- 两组之间没有观察到PDR的显著差异.
- AA没有显著影响多体大小,但影响了某些结肠部分的检测概率;经验丰富的内镜师在非AA组中显示出更高的ADR.
结论:
- 无麻醉辅助结肠镜检查实现了更高的腺瘤检测率.
- 虽然AA可以减少患者的压力,但它对腺瘤检测质量提供了最小的好处.
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