在非查性结肠镜检查期间,近端形形损伤检测率的变化
Mo Thoufeeq1, Vikram Mohanan2, Nilanga Nishad1
1Gastroenterology, Sheffield Teaching Hospitals National Health Service (NHS) Foundation Trust, Sheffield, GBR.
Cureus
|May 16, 2025
概括
状状病变 (SSL) 是结肠癌的前体. 这项研究发现,内镜师在检测率上存在很大差异,这表明SSL检测应该是关键绩效指标.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 在瘤学瘤学.
背景情况:
- 靠近的状状病变 (PSSL) 越来越被认为是间歇性结肠癌的重要前体.
- 评估PSSL检测率对于改善结肠癌预防至关重要.
研究的目的:
- 在非查性结肠镜检查期间评估PSSL检测率.
- 确定PSSL检测率与结肠镜关键绩效指标 (KPIs) 之间的关联.
主要方法:
- 追溯收集来自2956次非查性结肠镜检查的数据.
- 分析内镜师的关键关键指标:聚检测率 (PDR),腹腔管道输入率 (CIR) 和结肠镜抽出时间 (CWT).
- 使用斯皮尔曼测试对协会的统计评估.
主要成果:
- 平均PSSL检测率为0.7%,具有显著的内镜间变异性 (0-6.5%).
- PSSL检测率与结肠镜撤回时间 (CWT) 有正相关.
- 在PSSL检测率和PDR或CIR之间没有发现显著的相关性.
结论:
- 在PSSL检测的广泛变化表明高失误率,即使遵守国家KPI基准.
- 应将PSSL检测率视为结肠镜质量的独立关键绩效指标.
- 改善PSSL检测对于减少间隔结肠癌至关重要.
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