在结肠镜检查中使用或不使用粘膜暴露装置进行计算机辅助检测:系统性审查和元分析,并进行试验顺序分析
Gilmara Coelho Meine1,2, Erica Uchoa Holanda3, Paula Santo4
1Program of Graduate Science in Gastroenterology and Hepatology, Federal University of Rio Grande Do Sul, Porto Alegre, Brazil. gilmara@feevale.br.
Surgical endoscopy
|December 18, 2025
概括
将粘膜暴露设备与计算机辅助检测 (CADe) 结合起来,可以显著提高结肠镜检查期间的腺瘤检测率 (ADR) 和结肠镜检查期间的腺瘤 (APC). 这种增强的可视化增加了腺瘤检测,而不会延长手术时间.
科学领域:
- 胃肠病学 胃肠病学
- 内镜技术的使用方法
- 癌症查 癌症查
背景情况:
- 内镜可视化技术正在进步.
- 计算机辅助检测 (CADe) 系统有助于检测腺瘤.
- 结合CADe与粘膜暴露器件的组合需要进行调查.
研究的目的:
- 为了比较结合粘膜暴露装置和CADe与单独CADe用于腺瘤检测的有效性.
- 评估对腺瘤检测率 (ADR) 和每次结肠镜检查 (APC) 的腺瘤的影响.
- 为了评估晚期腺瘤检测和手术时间.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 在PubMed,Embase和Cochrane图书馆搜索到2025年1月.
- 聚合风险比率 (RR) 和平均差异 (MD) 与95%的置信区间 (CI).
- 进行了子组和试验顺序分析 (TSA).
主要成果:
- 分析了三项涉及2,404名患者的RCT.
- 综合方法显著改善了ADR (RR 1.12) 和APC (MD 0.15) 与单独CADe相比.
- 晚期腺瘤检测或手术时间没有显著差异.
- 交通安全局证实了对ADR和APC的强有力的调查结果.
结论:
- 将CADe与粘膜暴露装置相结合,可以在结肠镜检查期间提高腺瘤检测.
- 这种组合可以增加ADR和APC,而不会延长手术时间.
- 与单独使用CADe相比,高级腺瘤检测没有显著改善.
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