计算机断层扫描结肠镜在完全意图但堕胎的光学结肠镜中的含义 - 一个回顾性病例对照研究
Constanze Jakob1,2, Thomas Arens3, Annett Borkenhagen4
1Friedrich Schiller University, Jena, Germany.
概括
当光学结肠镜 (OC) 不完整时,CT结肠镜 (CTC) 是一个替代方案. 这项研究发现,CTC在堕胎OC后检测显著发现的价值有限,这表明使用限制.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 结肠直肠手术 结肠直肠手术
背景情况:
- 光学结肠镜 (OC) 是结肠直肠检查的主要工具.
- 不完整的OC需要替代的诊断策略.
- 在OC失败后,CT结肠镜 (CTC) 可能作为后续检查.
研究的目的:
- 评估CT结肠镜 (CTC) 在不完整的光学结肠镜 (OC) 之后的影响.
- 为了比较经过CTC后堕胎OC的患者和完成OC的患者之间的手术和干预内镜结局.
- 评估CTC的诊断收益率在患者之前没有成功的OC.
主要方法:
- 回顾性图表审查比较302名患者,在不完整的OC后进行了CTC,与完成OC的性别匹配对照进行了对照.
- 对OC的指示,停止治疗的原因和检测率的分析.
- 在CTC.上发现的结肠外发现的评估.
主要成果:
- discontinuation的常见原因包括可疑的粘附和sigmoid结肠解剖学.
- 与预防性结肠镜检查对照组 (26.9%) 相比,CTC组的腺瘤检测率明显较低 (9.6%).
- CTC确定了许多结肠外发现,但很少有潜在的恶性,更少的被组织学证实.
结论:
- 在不完整的光学结肠镜 (OC) 后的CT结肠镜 (CTC) 产生了较低的显著 (前恶性) 发现率.
- 该研究表明CTC在这种情况下的作用有限,强调根据OC失败的指示和原因进行个别考虑.
- 进一步调查CTC作为重复OC的替代品的实用性是有必要的.
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