较高的息肉检测率和阴输液率在早上班比下午班:一个多中心大型队列回顾性研究
Rawi Hazzan1, Tarek Saadi2, Revital Guterman3
1Assuta Centers, Haifa Gastroenterology Institute, Haifa, Israel, Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
The Israel Medical Association journal : IMAJ
|May 14, 2025
概括
晨间结肠镜检查显示了较高的聚检测率 (PDR) 和腔输管率 (CIR). 优化下午班的条件对于提高PDR和结肠直肠癌查效率至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 大肠直肠癌 (CRC) 是全球领先的癌症.
- 现有研究对结肠镜检查效果的交换时间是相互矛盾的.
- 在早晨和下午的手术中,腺瘤检测率可能会有所不同.
研究的目的:
- 为了比较在早上和下午班期间进行的结肠镜检测的多检测率 (PDR).
- 在结肠镜检查过程中识别影响PDR的因素.
- 为了提高结直肠癌查的有效性.
主要方法:
- 追溯性,多中心研究分析了从2016年到2023年的结肠镜.
- 包括七个内镜科的大量队列.
- 在早晨和下午的结肠镜轮班之间比较PDR.
主要成果:
- 分析了超过368000个结肠镜.
- 晨间结肠镜检查的PDR (32.9%对比29.9%) 和腔输管率 (CIR) (96.7%对比95.6%) 较高.
- 诸如年龄,性别,多的随访和CRC史等因素影响了PDR.
结论:
- 在早上班时进行的结肠镜检查显示出优异的PDR和CIR.
- 下午班内镜医生需要优化的条件来改善多体检测.
- 改善下午的PDR对于全面的CRC查至关重要.
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