加强结肠镜检查规范培训,提高结肠腺瘤检出率  

Strengthening the standardized training of colonoscopy to improve the adenoma detection rate

作　　者：王树玲[1] 康争春 赵胜兵[1] 李兆申[1] 柏愚[1] WANG Shu-ling;KANG Zheng-chun;ZHAO Sheng-bing;LI Zhao-shen;BAI Yu(Department of Gastroenterology,Digestive Endoscopy Center&National Digestive Clinical Medical Research Center,The First Affiliated Hospital of Naval Medical University(Second Military Medical University),Shanghai 200433,China;Department of Colorectal Surgery,The First Affiliated Hospital of Naval Medical University(Second Military Medical University),Shanghai 200433,China)

机构地区：[1]海军军医大学(第二军医大学)第一附属医院消化内科,海军军医大学(第二军医大学)第一附属医院消化内镜中心,国家消化病临床医学研究中心,上海200433 [2]海军军医大学(第二军医大学)第一附属医院肛肠外科,上海200433

出　　处：《海军军医大学学报》2023年第3期265-271,共7页Academic Journal of Naval Medical University

基　　金：国家自然科学基金(82100587,81873546,82170567);上海市科技创新行动计划优秀学术带头人(青年)(22XD1425000);上海市青年科技英才扬帆计划(21YF1458700);中国博士后创新人才支持计划(BX20220288);中国博士后科学基金面上项目(2022M720138);海军军医大学(第二军医大学)深蓝工程领航人才计划。

摘　　要：我国结直肠癌发病率和死亡率逐年增加,早防、早筛、早诊、早治是遏制该趋势的有效措施,而结肠镜检查则是其筛查和检测的重要手段。腺瘤检出率是结肠镜检查的关键质控指标,提高腺瘤检出率不仅可以提高结肠镜的检查质量,更重要的是可以显著降低结直肠癌的发病率和致死率,具有重大临床意义。现从肠道准备质量、进镜操作技巧、退镜时间和质量、人工智能系统等不同层次寻找提高结肠镜腺瘤检出率的方法,力争在内镜医师的肠镜学习阶段为其打下坚实基础,从而切实改善我国结肠镜腺瘤检出率低的现状。The incidence and mortality of colorectal cancer in China are increasing year by year,and it could be effectively curbed by early prevention,screening,diagnosis and treatment.Colonoscopy is one of the most important means to screen and detect colorectal cancer.The adenoma detection rate is a key quality control index for colonoscopy.Improving the adenoma detection rate can not only improve the quality of colonoscopy,but also significantly reduce the incidence and mortality of colorectal cancer,which is of great clinical significance.Our team explores several ways to improve the adenoma detection rate from different levels such as bowel preparation quality,operation skills of entering endoscopy,time and quality of exiting endoscopy,and artificial intelligence system,so as to lay a solid foundation for endoscopists at the colonoscopy learning stage,effectively improving the low adenoma detection rate during colonoscopy in our country.

关 键 词：结直肠肿瘤 结肠镜检查 腺瘤检出率 培训 

分 类 号：R735.34[医药卫生—肿瘤]