Endocuff视觉辅助结肠镜在改善腺瘤检测率方面的有效性:对随机对照试验的更新系统综述和元分析
Abdallfatah Abdallfatah1, Samaa Daoud1, Ahmed W Hageen2
1Faculty of Medicine, October 6 University, Giza, Egypt.
与标准结肠镜检查 (SC) 相比,Endocuff Vision (ECV) 在结肠镜检查期间显著提高了腺瘤检测率 (ADR). 这种先进的附着物增强了结直肠癌 (CRC) 腺瘤的检测能力,可能减少间隔CRC病例.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 医疗器械 医疗器械
背景情况:
- 大肠直肠癌 (CRC) 是癌症死亡的主要原因.
- 标准结肠镜 (SC) 在检测所有腺瘤方面存在局限性,导致间隔CRC.
- 像Endocuff Vision (ECV) 这样的先进附件旨在提高腺瘤检测率 (ADR).
研究的目的:
- 系统地审查和对Endocuff Vision (ECV) 与标准结肠镜 (SC) 的疗效进行元分析.
- 评估ECV对腺瘤检测率 (ADR) 和其他关键结肠镜检查结果的影响.
- 评估ECV在改善结直肠癌 (CRC) 查和预防方面的潜力.
主要方法:
- 在主要数据库 (PubMed,科学网,Scopus,Embase) 进行系统的文献搜索.
- 包括18个随机对照试验 (RCT) 与17734名患者.
- 使用ROB2评估偏差风险;使用R统计软件分析数据.
主要成果:
- ECV显著增加了ADR (RR: 1.13) 和晚期腺瘤检测率 (AADR) (RR: 1.11).
- 此外,ECV还提高了聚合物检测率 (PDR),状状病变检测率 (SLDR) 和左侧病变检测率 (LSLDR).
- 通过ECV观察到更短的戒断和腔输管时间;在查/监测人群中,好处是显著的.
结论:
- 内镜视觉 (ECV) 是提高结肠镜检查期间腺瘤检测的宝贵工具.
- ECV有可能提高结肠直肠癌 (CRC) 查效率,并减少间隔CRC.
- 需要进一步研究长期临床影响和成本效益.
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