在内镜检查期间错过了门和门瘤:一项为期十年的回顾性研究
Zhu-Jun Wu1, Hui Gong1, Ya-Xin Li1
1Department of Gastroenterology, West China Hospital of Sichuan University, Chengdu, 610000, Sichuan Province, China.
BMC cancer
|February 7, 2026
概括
在内镜检查期间,大量门和门瘤被遗漏,这凸显了改善诊断准确性的需要. 增强的内镜技术和瘤特征的识别对于及时诊断至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 在内镜检查期间错误诊断门和门瘤令人担忧.
- 这项研究旨在确定这些被忽视的瘤的特征.
研究的目的:
- 调查和分析错过门和门瘤的内镜和临床特征.
- 确定门和门瘤中错过诊断的比例和原因.
主要方法:
- 对被诊断患有门和直肠瘤的患者进行回顾性队列分析 (2014-2024年).
- 提取了人口统计数据,瘤特征,内镜检查结果和错过的诊断记录.
- 进行描述性和错误分类分析,以确定错误诊断的原因.
主要成果:
- 在先前的内镜检查中,12.0%的门和门瘤没有被发现.
- 原因包括暴露错误 (n=8),判断错误 (n=6) 和活检错误 (n=1).
- 平均诊断延迟时间为43.4个月,最终诊断前平均2.5次手术.
结论:
- 在内镜检查期间,门和门瘤的错误诊断率很高.
- 综合性内镜观察和改善门瘤特征的识别是必不可少的.
- 解决诊断错误可以改善患者的治疗结果.
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