注水注气无痛肠镜的临床应用

Clinical application of water and gas injection painless enteroscope

目的探讨注水注气无痛肠镜检查的临床应用效果。方法选择符合无痛肠镜检查适应证,具有临床肠道症状的患者以及无症状体检者共180例,分为A组(行注水注气无痛肠镜检查)、B组(行单纯注水无痛肠镜检查)、C组(行单纯注气无痛肠镜检查),各60例。对比3组进镜时间、退镜时间、肠道清洁度评分、肠道腺瘤检出率及检查后腹部不适感等情况。结果进镜时间A组<B组<C组(P<0.05);A组和C组退镜时间短于B组(P<0.05),但A组与C组间差异无统计学意义(P>0.05);A组和B组的肠道清洁度波士顿评分和肠道腺瘤检出率高于C组,检查后腹部不适感低于C组(均P<0.05),但A组和B组间差异无统计学意义(P>0.05)。结论注水注气无痛肠镜检查可有效解决单纯注水无痛肠镜检查和单纯注气无痛肠镜检查所导致的各种弊端,减少麻醉风险和检查后不良反应,提高肠道腺瘤检出率,具有良好的应用前景。

Objective To explore the clinical application effect of water and gas injection painless enteroscope.Methods A total of 180 subjects accorded with the indications of painless enteroscope with or without clinical intestinal symptoms were selected and divided into group A(conducted water and gas injection painless enteroscope),group B(conducted water injection painless enteroscope)or group C(conducted gas injection painless enteroscope),with 60 cases in each group.The access and withdrawal time of the endoscope,intestinal cleanliness score,detection rate of intestinal adenoma,and abdominal discomfort after examination were compared between the three groups.Results The access time of endoscope exhibited a tendency of group A<group B<group C(P<0.05);the withdrawal time of endoscope of the group A or group C was shorter than that of group B(P<0.05),but with no significant difference between the group A and group C(P>0.05);Boston score of intestinal cleanliness and detection rate of intestinal adenoma were higher,but abdominal discomfort after examination was less in group A or group B than in group C(all P<0.05),with no significant difference between the group A and group B(P>0.05).Conclusion Water and gas injection painless enteroscope can effectively solve various kinds of disadvantages caused by simple water or gas injection painless enteroscope,reduce the anesthesia risk and the adverse reactions after examination,and increase the detection rate of intestinal adenomas,thus it is of good application prospect.