乙状结肠二次进镜对于腺瘤性息肉检出率影响的研究  

Effect of seandary sigmoid colonoscopy on the detection rate of adenomatous polyps

作　　者：张静洁[1] 江振宇[1] 汤泊夫 武勇[1] 孟宪梅[1] Jingjie Zhang;Zhenyu Jiang;Bofu Tang;Yong Wu;Xianmei Meng(Depatment of Gastroenterology,The Second Affiliated Hospital of Baotou Medical College,Baotou 014030,China)

机构地区：[1]包头医学院第二附属医院消化科,包头014030

出　　处：《中华胃肠内镜电子杂志》2022年第2期82-85,共4页Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition)

基　　金：内蒙古自然基金项目(2018MS08050)。

摘　　要：目的在结肠镜检查中运用二次进镜观察乙状结肠的方法,研究乙状结肠腺瘤性息肉检出率的影响.方法选取2020年12月1~31日经包头医学院第二附属医院内镜中心行结肠结检查的1800例患者,随机抽取900例患者进行乙状结肠的二次进镜观察,分析乙状结肠单次进镜与二次进镜的腺瘤性息肉检出率情况.结果1800例结肠镜检查的患者中,共832例患者检查结肠腺瘤性息肉,其中乙状结肠单次进镜共检出乙状结肠腺瘤780枚,乙状结肠二次进镜共检出乙状结肠腺瘤1080枚.结论在本研究中,乙状结肠二次进镜可提高乙状结肠腺瘤性息肉检出率,对降低发展为结肠癌的风险具有重要的临床意义.Objective To study the influence of the detection rate of adenomatous polyps in sigmoid colon by observing the sigmoid colon in repeated colonoscopy.Methods A total of 1800 patients who underwent colonoscopy in the endoscopy center of the Second Affiliated Hospital of Baotou Medical College in December 2020 were selected,and 900 of them were randomly selected for the observation of sigmoid colon with double repeated endoscopy,and the detection rate of adenomatous polyps in sigmoid colon with single endoscopy and double repeated endoscopy was analyzed.Results Among the 1800 cases of colonoscopy,832 cases of colonic adenomatous polyps were examined.780 adenomas were detected by single sigmoid colonoscopy,and 1080 adenomas were detected by repeated sigmoid colonoscopy.Conclusion In this study,secondary sigmoid colonoscopy can improve the detection rate of adenomatous polyps in sigmoid colon,which has important clinical significance in reducing the risk of developing colon cancer.

关 键 词：结肠镜检查 腺瘤性息肉 二次进镜 检出率 

分 类 号：R574.62[医药卫生—消化系统]