大小,形态,位置和访问评分系统在内镜师之间是否一致? 观察者间和观察者内部的多重体评估研究
Mo Thoufeeq1, Ahmad Thaika2, Shyam Moudhgalya3
1Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom of Great Britain and Northern Ireland.
Endoscopy international open
|December 17, 2025
概括
对大小/形态/网站/访问 (SMSA) 评分工具的观察者间协议是公平的,形态表现出最高的一致性. 标准化培训可能会提高这种结肠镜评估工具的临床效用.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查的评估.
- 医疗设备的可用性 医疗设备的可用性
背景情况:
- 尺寸/形态/位置/访问 (SMSA) 评分系统用于结肠镜检查.
- 在内镜师中评估SMSA评分的一致性对于其可靠的应用至关重要.
研究的目的:
- 评估具有不同经验水平的内镜师在SMSA评分中的观察者间和观察者内部的协议.
- 为了确定哪些SMSA参数显示出最高的协议.
主要方法:
- 102名内镜师使用SMSA工具进行了10次结肠多片视频剪辑.
- 视频使用了各种成像方式 (白光,NBI,染色内镜).
- 弗莱斯的kappa统计分析了观察者间的协议;一个子组评估了观察者内部的可靠性.
主要成果:
- 对于SMSA,观察者之间的总体协议是公平的 (κ = 0.346).
- 形态学 (κ = 0.505) 显示了最高的一致性,其次是访问 (κ = 0.408) 和大小 (κ = 0.241).
- 经验丰富的内镜师显示出略有更好的一致性;观察者内部的一致性从中等到几乎完美.
结论:
- 形态是最一致的SMSA参数.
- 虽然有价值,但SMSA工具可能受益于标准化培训和简化类别,以提高一致性和临床实用性.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
514
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
514
Endoscopic Procedures II: Colonoscopy
562
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
562


