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结肠镜反转提高右半结肠腺瘤与息肉检出率的应用研究 被引量:2

Application of colonoscopy inversion to improve the detection rate of adenoma and polyp in the right colon
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摘要 目的探讨结肠镜反转提高右半结肠腺瘤与息肉检出率的应用价值。方法选取2018年9月~2020年9月于江西省新余钢铁集团有限公司中心医院消化科接受结肠镜检查的100例患者作为研究对象,所有患者依次采用直视退镜法、结肠镜反转技术观察右半结肠。比较两种检测方式对右半结肠腺瘤、息肉及对不同直径腺瘤的检出率及诊断效能。结果结肠镜反转技术对右半结肠腺瘤、息肉的检出率均高于直视退镜法,直径<5 mm的腺瘤检出率高于直视退镜法,差异有统计学意义(P<0.05)。结肠镜反转技术检测右半结肠腺瘤及息肉的敏感度、特异度及准确度均高于直视退镜法,差异有统计学意义(P<0.05)。结论结肠镜反转技术在结肠镜检查中可有效提升右半结肠腺瘤与息肉的检出率,对未来结肠肿瘤的防治具有一定指导意义。 Objective To explore the application value of colonoscopy reversal in improving the detection rate of right hemicolon adenoma and polyp.Methods A total of 100 patients who received the examination of colonoscopy and were suitable for research in Department of Gastroenterology,Central Hospital of Xinyu Iron and Steel Co.,Ltd.of Jiangxi Province from September 2018 to September 2020 were selected as the research objects.All patients were followed by direct vision and retrospection method and colonoscopy reversal technique to observe the right hemicolon.The detection rates of right hemicolon adenoma,polyp and adenoma with different diameters were compared between the two methods.Results The detection rates of right hemicolon adenoma and polyp by colonoscopy reversal were higher than those of direct vision and retrospection method,and the detection rate of adenoma with diameter<5 mm was higher than that of direct vision and retrospection method,and the differences were statistically significant(P<0.05).The sensitivity,specificity and accuracy of reverse colonoscopy in detecting adenoma and polyp of right colon were higher than those of direct vision method,and the differences were statistically significant(P<0.05).Conclusion Colonoscopy reversal technique can effectively improve the detection rate of right hemicolon adenoma and polyp in the examination of colonoscopy,which has certain guiding significance for the prevention and treatment of colon cancer in the future.
作者 冯亚卿 周莹 黄敏 杨霞 陈志清 FENG Ya-qing;ZHOU Ying;HUANG Min;YANG Xia;CHEN Zhi-qing(Department of Gastroenterology,Central Hospital of Xinyu Iron and Steel Co.,Ltd.of Jiangxi Province,Xinyu 338025,China)
出处 《中国当代医药》 CAS 2021年第18期40-42,共3页 China Modern Medicine
基金 江西省卫生健康委科技计划项目(20204521)。
关键词 右半结肠腺瘤 右半结肠息肉 结肠镜反转技术 直视退镜法 检出率 Right hemicolon adenoma Right hemicolon polyp Colonoscopy reversal technique Direct vision and retrospection method Detection rate
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