不完整气球辅助肠镜检查的危险因素:对943名患者进行了回顾性研究
Jun Liu1,2, Meng Wan1,2, Peng Wang1,2
1Department of Gastroenterology, Shandong University Qilu Hospital, Jinan, Shandong, China.
Frontiers in medicine
|July 16, 2025
概括
单气球肠镜 (SBE),男性性别,先前的肠道手术和高体重指数 (BMI) 与不完整的小肠检查有关. 这些因素影响了气球辅助肠镜检查 (BAE) 的成功.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 气球辅助肠镜 (BAE) 对于诊断和治疗小肠疾病至关重要.
- 完整肠镜检查是BAE手术的关键质量指标.
- 影响BAE全面成功的因素需要进一步调查.
研究的目的:
- 为了确定与实现完整肠镜相关的因素.
- 在成年患者中分析不完整肠镜检查的预测因素.
主要方法:
- 对943名接受BAE的成年患者进行了回顾性分析.
- 收集的数据包括患者人口统计,手术史,BMI和肠镜检查结果.
- 单变量和多变量逻辑回归确定了不完整肠镜检查的风险因素.
主要成果:
- 在943名患者中,558名患者完成了全肠镜检查.
- 不完整肠镜的独立预测因素包括单气球肠镜 (SBE),男性性别,肠道手术史,以及BMI≥28kg/m2.
- 为每个预测因素计算了特定的赔率比率和p值.
结论:
- 与其他BAE方法相比,单气球肠镜 (SBE) 与不完整肠镜的可能性更高.
- 男性性别,先前的肠道手术,以及28公斤/平方米或更高的BMI是不完整肠镜检查的重要危险因素.
- 这些发现可以帮助优化患者选择和BAE的程序规划.
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