结肠镜检查轻微不良事件危险因素及预防

Minor Adverse Events of Colonoscopy and Its Risk Factors and Prevention

结肠镜可早期发现肠道腺瘤和癌前病变,逐渐成为结肠癌临床诊断和治疗的重要手段,被认为是评估肠道疾病的金标准。随着结肠镜的广泛应用,其相关轻微不良事件逐渐受到临床医师的重视,可能因操作导致肠道轻微损伤,结肠镜术后轻微不良事件(腹痛、腹胀、恶心、腹泻、便秘、便血等)不仅影响患者的生活质量、降低患者的就诊满意度,还对结肠镜的临床应用产生了负面影响。

Colonoscopy can detect intestinal adenoma and precancerous lesions in the early stage,which has gradually become an important means of clinical diagnosis and treatment of colon cancer,and is considered as the gold standard for the assessment of intestinal diseases. With the wide application of colonoscopy,minor intestinal injury may occur due to operation,and its related minor adverse events have gradually attracted the attention of the clinicians. The minor adverse events( such as abdominal pain,abdominal distention,nausea,diarrhea,constipation,blood stool,etc.) after colonoscopy not only affect the quality of life of the patients,reduce the patient’s satisfaction with medical treatment,but also have a negative impact on the clinical application of colonoscopy.