高质量结肠镜检查的思考  

Thoughts on factors related to colonoscopy quality

作　　者：王敬斋 张昱[1,2] 郭强 Jing-Zhai Wang;Yu Zhang;Qiang Guo(Department of Gastroenterology,The First People’s Hospital of Yunnan Province,Kunming 650032,Yunnan Province,China;Yunnan Provincial Clinical Medicine Center of GI Endoscopy,Kunming 650032,Yunnan Province,China)

机构地区：[1]云南省第一人民医院消化内科,云南省昆明市650032 [2]云南省消化内镜临床医学中心,云南省昆明市650032

出　　处：《世界华人消化杂志》2021年第17期977-983,共7页World Chinese Journal of Digestology

基　　金：国家自然科学基金地区项目,No.81860522;云南省临床医学中心开放课题,No.2020LCZXKF-XH05。

摘　　要：随着消化道早癌筛查观念的普及,人民群众健康意识的提高,我国健康或无症状人群主动接受消化内镜检查的比例明显提高.结肠息肉和腺瘤的检出和治疗率也大幅提升.但总体上我国结肠镜腺瘤检出率(adenoma detection rate,ADR)距离国际公认的30%标准仍有明显差距.高质量的结肠镜检查是提高ADR,降低间期结直肠癌发生风险的关键.影响结肠镜检查质量的因素包括从术前受检人群的选择和评估、肠道准备质量,术中进镜技术、内镜图像增强模式的运用、退镜时间,到防止并发症及不良反应发生等各个方面.With the increase in health consciousness and the prevalence of early gastrointestinal cancer screening,the number of diagnosed cases of colorectal polyps and adenomas in the Chinese general population has substantially increased.However,the overall adenoma detection rate(ADR)in China remains lower than the global standard of 30%.High quality colonoscopy is pivotal for increasing the ADR and reducing the risk of interval colon cancer.A few factors are related to the quality of colonoscopy,including preoperative evaluation of examinees,bowel preparation,techniques for intubation,use of image enhancement endoscopy,withdraw time,and prevention of adverse events.

关 键 词：结肠镜检查 腺瘤检出率 间期癌 肠道准备 麻醉 不良事件 

分 类 号：R735.34[医药卫生—肿瘤]