水交换法肠镜检查中加入靛胭脂提高腺瘤检出率的对比研究  

Comparative study on increasing adenoma detection rate by adding indigo rouge in enteroscopy with water exchange method

作　　者：胡学军[1] 徐威[1] 姚平[1] 沈明 钟晓峰 邱全兴[1] 汤瑜[1] 花海兵[1] HU Xue-jun;XU Wei;YAO Ping;SHEN Ming;ZHONG Xiao-feng;QIU Quan-xing;TANG Yu;HUA Hai-bing(Department of Gastroenterology,Jiangyin Hospital of Traditional Chinese Medicine,Jiangsu 214400,Jiangsu,China)

机构地区：[1]江阴市中医院消化科

出　　处：《中国临床医学》2019年第6期923-926,共4页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨水交换法中加入靛胭脂提高腺瘤检出率的有效性。方法:前瞻性入组病例,随机采用常规水交换法(对照组)或加用0.008%靛胭脂水交换法(试验组)进行结肠镜检查。研究评价的主要指标为腺瘤检出率。结果:共202例患者纳入研究,试验组和对照组各101例。两组性别分布、平均年龄、吸烟史、结肠癌家族史和肠镜检查适应证差异无统计学意义。两组盲肠插管成功率均为100%。对照组腺瘤检出率为31.7%,试验组腺瘤检出率为45.4%,两组差异有统计学意义(P<0.05)。结论:加用0.008%靛胭脂的水交换法肠镜检查可显著提高腺瘤检出率。Objective:To evaluate the efficacy of increasing adenoma detection rate(ADR)by adding indigo rouge in enteroscopy with water exchange method.Methods:Patients were enrolled prospectively.Colonoscopy was performed with routine water exchange(control group)or with 0.008%indigo carmine added water exchange method(study group).The primary outcome of this study is ADR.Results:Totally,202 patients were included(101 cases in each group).There were no significant differences in gender distribution,mean age,smoking history,family history of colon cancer,and colonoscopy indication.Cecal intubation success rate was 100%in both groups.ADR was 31.7%for control group and 45.4%for study group,with significant difference(P<0.05).Conclusions:Adding 0.008%indigo rouge in enteroscopy with water exchange method enhances ADR significantly.

关 键 词：腺瘤检出率 结肠镜 水交换法 色素内镜 

分 类 号：R735.35[医药卫生—肿瘤]