在结肠镜检查期间第二次西格肠输管对超重和肥胖患者腺瘤检测率的影响:一项前性随机对照试验
Fei Han1, Haining Zhou, Huijuan Wang
1Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China .
与标准撤回相比,第二次sigmoid结肠输管显著增加了腺瘤检测率. 这种增强的程序改善了聚的检测,有助于早期诊断结直肠疾病.
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:
- 西格体结肠的扭曲性使输管术和结肠镜检查期间的观察复杂化.
- 标准撤回可能会错过这个部分的息肉和腺瘤.
- 在西格肠中提高腺瘤检测率 (ADR) 对于有效的查至关重要.
研究的目的:
- 为了评估第二次sigmoid结肠输管 (SI) 是否改善腺瘤检测率 (ADR) 与标准撤回 (SW) 相比.
主要方法:
- 在650名患者 (≥45岁,BMI>24) 进行了一项随机对照试验.
- 患者被随机分配到标准撤回 (SW) 或第二次输管 (SI) 组.
- 在退出期间,SI组进行了重新插入到西格结肠中,以平整折叠并改善可视化.
主要成果:
- 在SI组在西格体结肠 (P=0.001) 中显示出明显更高的ADR (24.3%),而不是SW (14.5%).
- 在SI组中,多体检测率也大大增加 (29.2%对17.8%,P=0.001).
- 年龄较大,吸烟和检查时间较长预计在SI期间会发现额外的腺瘤.
结论:
- 第二次输入西格莫体结肠是增强腺瘤和息肉检测的有效方法.
- 这种技术为结肠镜查协议提供了宝贵的改进.
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