中国人群中结直肠息肉的不完整息肉切除率:一个横截面研究
Song Zhang1,2, Jiahui Wei1,2, Xiangyu Sui1,2
1Department of Gastroenterology, Changhai Hospital, National Clinical Research Center for Digestive Diseases, Naval Medical University, Shanghai, China.
The American journal of gastroenterology
|September 29, 2025
概括
结肠直肠多的不完全切除率 (IRR) 差异很大,状状腺瘤/多和近位结肠多具有更高的风险. 增加窄带成像 (NBI) 经验可能会降低IRR.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术瘤学手术瘤学
背景情况:
- 结肠镜检查对于预防结肠直肠癌至关重要.
- 不完整的聚切除可以导致结肠镜后结肠直肠癌.
- 关于不完全切除率 (IRR) 和其风险因素的数据有限.
研究的目的:
- 为了评估结直肠多瘤的IRR.
- 为了确定与不完整的多切除相关的独立风险因素.
主要方法:
- 从国家结肠直肠多关怀研究的数据分析.
- 包括在结肠镜检查期间切除的多 (1-20毫米) 患者.
- 切除边缘的活检以评估完整性;多变量后勤回归用于风险因素分析.
主要成果:
- 在1944个瘤多体中观察到4.4%的IRR.
- 状状腺瘤/多胞体 (SSA/Ps),近腹结肠多胞体和下窄带成像 (NBI) 经验是高IRR的独立风险因素.
- 在内镜医生中,IRR的差异很大 (0%至36.4%).
结论:
- 在临床实践中,聚切除的完整性存在显著的变异性.
- SSA/Ps和靠近结肠的息肉与更高的不完整切除率有关.
- 较高的NBI经验可能是防止不完整的多切除的保护因素.
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