安装透明帽并二氧化碳气体注入对结肠镜检查进镜速度及结肠息肉检出率的影响

发布时间：2019-05-14 19:04

【摘要】：目的观察并探讨肠镜前端安装透明帽联合二氧化碳CO2气体注入对结肠镜检查进镜速度及镜下息肉检出率的影响。方法将2014年1月-2016年6月拟行结肠镜检查的216例患者据随机数字表分为A、B、C 3组,每组72例,A组患者肠镜前端安装透明帽而后行结肠镜检查,B组检查前肠镜不安装透明帽,进镜前肠管内注入CO2气体,C组联合采用上述两种方法而后再行肠镜检查,比较3组患者检查过程中进镜速度及息肉检出率差异。结果 A、B、C 3组受检者肠镜达到回盲部比例差异无统计学意义(95.8%vs 90.3%vs 98.6%)(χ2=5.34,P=0.069);到达回盲部平均时间C组A组B组[(7.14±1.12)vs(8.75±1.33)vs(9.03±1.57)min,F=3.75,P=0.025]。3组总体息肉检出率C组A组B组(38.9%vs 34.7%vs 23.6%)(χ2=4.10,P=0.129),A、B、C 3组微小结肠息肉检出率(30.6%vs 18.1%vs 36.1%)及右半结肠息肉检出率(20.8%vs 8.3%vs 23.6%)差异均有统计学意义(χ2=6.08,P=0.048;χ2=6.58,P=0.037)。患者撤镜后10 min[(4.35±0.62)vs(4.88±0.85)vs(5.57±1.05)]和30 min[(3.04±0.37)vs(3.30±0.56)vs(4.41±0.84)]VAS评分C组B组A组(F=4.85,P=0.009;F=3.26,P=0.040)。结论结肠镜检查时镜端安置透明帽联合CO2注入可显著提高结肠镜进镜速度与结肠息肉检出率,对微小结肠息肉及右半结肠息肉的检出更具优势。
[Abstract]:Objective to observe and investigate the effect of transparent cap installed at the front end of colonoscopy combined with carbon dioxide CO2 gas injection on the speed of colonoscopy and the detection rate of polyps under colonoscopy. Methods 216 patients undergoing colonoscopy from January 2014 to June 2016 were randomly divided into three groups: group A (n = 72), group C (n = 72), group A (n = 72). In group B, no transparent cap was installed before enteroscopy, and CO2 gas was injected into the anterior enteroscope. Group C was treated with the above two methods and then enteroscopy was performed to compare the difference in the speed of colonoscopy and the detection rate of polyps among the three groups. Results there was no significant difference in the proportion of ileocecum between group C and group C (95.8%vs 90.3%vs 98.6%) (蠂 2 5.34, P 鈮，

本文编号：2476972