在查结肠镜检查中,内镜检查末端结肠膜:这是值得的吗?
Krzysztof Dąbkowski1, Maciej Tryba1, Ernest Biesiada1
1Department of Gastroenterology, Pomeranian Medical University, Szczecin, Poland.
在查结肠镜检查期间评估末端结肠膜延长了手术时间,但很少显示出有意义的发现. 这一评估没有影响患者的舒适度或性别分布.
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:
- 查结肠镜检查经常遗漏终端结肠的评估.
- 在查结肠镜检查过程中,终端结膜输管的临床效用和影响还没有得到很好的定义.
研究的目的:
- 为了确定在查结肠镜检查期间评估终端结膜的频率.
- 为了评估终端膜输管对手术时间和患者舒适度的影响.
- 为了评估终端骨检查对病理发现的诊断收益.
主要方法:
- 在2017年至2021年期间,对2,449次查结肠镜进行了回顾性分析.
- 对手术持续时间,患者人口统计,疼痛评分和结局的比较,这些结果与眼已达到的群体相比,终端阴茎被直管.
- 数据分析的重点是确定手术时间,患者舒适度和病理发现的差异.
主要成果:
- 在一小部分患者中进行了终端阴茎输管,与仅用阴茎检查相比,性别或报告的疼痛得分没有显著差异.
- 接受终端阴茎管道输液的患者略微年轻,并且结肠镜持续时间明显较长 (22.8分钟而不是18分钟).
- 在297名终端结核输管患者中,有5名患者 (1.7%) 发现了病理状况,特别是非特异性炎症病变.
结论:
- 在查结肠镜检查期间输入终端结肠膜与增加手术时间有关.
- 虽然终端结膜评估可以揭示轻微的病理状况,但这些发现通常缺乏显著的临床重要性.
- 在查结肠镜检查中常规包括终端结膜输管,因此需要仔细考虑其成本效益和临床益处.
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