透明帽辅助及FICE技术对结直肠息肉漏诊率影响的前瞻性随机对照研究

发布时间：2018-04-22 05:35

本文选题：结肠镜检查 + 透明帽　；参考：《广东医学》2017年11期

【摘要】：目的探讨透明帽及人工智能染色(FICE)技术应用于结肠镜检查对降低息肉漏诊率的作用。方法对愿意接受同次两遍"串联式"肠镜检查的150例患者进行前瞻性随机对照研究,将符合纳入标准的患者随机分入A组(透明帽→常规组)、B组(FICE→常规组)、C组(常规→常规组)3组,每组各50例,每组均由高资质的同一医师一次性完成,记录各组的息肉漏诊情况、第一遍肠镜检查所需时间及不良事件发生情况。结果 A、B、C组息肉患者漏诊率分别为12%、36%、34%,患者息肉漏诊率分别为12.2%、29.4%、29.2%,差异有统计学意义(P0.05),进一步两两比较后提示透明帽可降低息肉患者漏诊率和患者息肉漏诊率(P0.05);但各组漏诊息肉的大小、部位、山田分型、病理类型差异无统计学意义(P0.05)。A、B、C组的进镜时间(s)分别为263.22±92.06、312.10±103.15、304.84±109.87,透明帽辅助组所需进镜时间最短(P0.05)。各组的不良事件发生率差异无统计学意义(P0.05)。结论尚不能证实FICE技术能降低息肉漏诊率;透明帽辅助能降低息肉漏诊率,缩短进镜时间,节约肠镜检查的时间成本,安全性高。
[Abstract]:Objective to investigate the application of transparent cap and artificial intelligence staining (FICE) technique in colonoscopy to reduce the rate of missed diagnosis of polyps. Methods A prospective randomized controlled study was conducted in 150 patients who were willing to undergo the same "tandem" enteroscopy. The patients who met the inclusion criteria were randomly divided into group A (group B) and group B (group B) and group C (group C). Each group had 50 cases in each group, and each group was completed by the same highly qualified physician at one time. The missed diagnosis of polyps, the time required for the first colonoscopy and the occurrence of adverse events were recorded. Results the missed diagnosis rates of polyps in group A and B were 123.36 and 12.2and 29.429.2, respectively. The difference was statistically significant (P 0.05). Further comparison showed that transparent cap could reduce the missed diagnosis rate of polyps and the missed diagnosis rate of polyps (P0.055.But each of the two groups), the rate of missed diagnosis of polyps was decreased (P < 0.05), but the rate of missed diagnosis of polyps was decreased (P < 0.05). The size of the missed polyps in the group, There was no significant difference in the location, type of Yamada and pathological type. The time of endoscopy in group C was 263.22 卤92.06312.10 卤103.15304.84 卤109.87, respectively. There was no significant difference in the incidence of adverse events in each group (P 0.05). Conclusion it can not be proved that FICE can reduce the rate of missed diagnosis of polyps, and the aid of transparent cap can reduce the rate of missed diagnosis of polyps, shorten the time of endoscopy, save the time cost of colonoscopy, and have high safety.
【作者单位】：深圳市第八人民医院消化内科;深圳市第五人民医院消化内科;
【基金】：广东省医学科研基金资助项目(编号:A2014512)
【分类号】：R574

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