影响结直肠腺瘤检出率相关因素的研究进展  

Factors affecting colorectal adenoma detection rate

作　　者：李英超 陈鸿鑫 许文涛 李成坤 祁兴顺 Ying-Chao Li;Hong-Xin Chen;Wen-Tao Xu;Cheng-Kun Li;Xing-Shun Qi(Department of Gastroenterology,General Hospital of Northern Theater Command,Shenyang 110840,Liaoning Province,China;Graduate School of Dalian Medical University,Dalian 116044,Liaoning Province,China;Graduate School of Liaoning University of Traditional Chinese Medicine,Shenyang 110031,Liaoning Province,China;Postgraduate College,Shenyang Pharmaceutical University,Shenyang 110016,Liaoning Province,China)

机构地区：[1]北部战区总医院消化内科,辽宁省沈阳市110840 [2]大连医科大学研究生院,辽宁省大连市116044 [3]辽宁中医药大学研究生院,辽宁省沈阳市110031 [4]沈阳药科大学研究生院,辽宁省沈阳市110016

出　　处：《世界华人消化杂志》2022年第10期450-457,共8页World Chinese Journal of Digestology

摘　　要：结直肠癌是严重威胁我国居民健康的一类疾病,其发病率及死亡率分别位居我国恶性肿瘤的第3位及第5位.高质量的结肠镜检查是预防结直肠癌的有效手段.腺瘤检出率(adenoma detection rate,ADR)是指接受结肠镜检查者中发现腺瘤者占总检查人数的比例.大多数结直肠癌都是由腺瘤发展而来的,提高ADR可降低结直肠癌的发病率和死亡率.目前研究发现ADR受多种因素影响,本文将主要从结肠镜术前及术中、医生和设备三方面阐述影响ADR的相关因素.以加强内窥镜医生对ADR的认识,从而提高结肠镜检查过程中的ADR.Colorectal cancer is a kind of malignant tumors that seriously threatens the health of Chinese people,and its morbidity and mortality rank third and fifth among malignant tumors in China,respectively.High-quality colonoscopy is an effective means of preventing colorectal cancer.Adenoma detection rate(ADR)is defined as the proportion of those who have adenomas in the total number of patients undergoing colonoscopy.With the increase of ADR,the incidence rate and mortality rate of colorectal cancer gradually decrease.Previous studies have found that ADR is affected by many factors.In this paper,we describe the factors that affect ADR from the aspects of colonoscopy,doctors,and equipment,with a purpose to strengthen the understanding of endoscopists on ADR and to increase ADR during colonoscopy.

关 键 词：腺瘤检出率 结直肠腺瘤 结直肠癌 结肠镜检查 

分 类 号：R735.34[医药卫生—肿瘤]