结肠镜检查的影响 停留时间和靠近结肠错过的平面腺瘤
Hyeon Min Rim1, Jong Seok Joo1, Woo Sun Rou1
1Departments of Internal Medicine, Chungnam National University School of Medicine, 282 Munhwa-Ro, Jung-Gu, Daejeon, 35015, Korea.
Digestive diseases and sciences
|February 3, 2026
概括
结肠镜抽取时间超过3分钟显著改善了平面腺瘤的检测,减少错过的平面腺瘤率. 这种延长的时间对于预防间隔结肠直肠癌至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠癌 预防 预防
背景情况:
- 结肠镜检查对于检测结肠直肠癌至关重要,但可以错过腺瘤,特别是平面腺瘤.
- 错过的平面腺瘤是间隔结直肠癌发展的重要因素.
研究的目的:
- 检查结肠镜检查期间靠近结肠的抽出时间与错过平面腺瘤的发生率之间的关联.
- 为了确定结肠镜检查的最佳停留时间,以提高腺瘤检测.
主要方法:
- 对10,253名患者的查结肠镜记录进行了回顾性分析.
- 根据临近结肠抽出时间 (<3分钟与>3分钟) 将患者分为两组.
- 组之间的腺瘤检测率 (ADR),平面腺瘤检测率 (FADR),腺瘤错误率 (AMR) 和平面腺瘤错误率 (FAMR) 的比较.
主要成果:
- 戒断时间>3分钟与显著更高的ADR (21.1%与17.8%) 和FADR (5.4%与4.2%) 相关.
- 禁食时间>3分钟的组显示AMR显著降低 (12.8%vs17.9%) 和FAMR (4.0%vs8.2%).
- 多变量分析证实,更长的停药时间 (>3分钟) 显著降低了AMR和FAMR.
结论:
- 靠近结肠的退出时间显著影响了平面腺瘤的检测和错过率.
- 建议使用超过3分钟的结肠镜抽取时间来改善腺瘤检测,并可能减少间隔癌症.
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