前置透明帽在单人结肠镜检查中的应用价值  

Application value of front transparent cap in single colonoscopy

作　　者：吴中旭 熊建光[1] 刘启胜 吴娟 吴杰云 程思 WU Zhongxu;XIONG Jianguang;LIU Qisheng;WU Juan;WU Jieyun;CHENG Si(Gastroenterology Department,Xianning Central Hospital/the First Affiliated Hospital of Hubei University of Science and Technology,Xianning 437100,China)

机构地区：[1]咸宁市中心医院/湖北科技学院附属第一医院消化内科,湖北咸宁437100

出　　处：《临床医学研究与实践》2023年第18期33-36,共4页Clinical Research and Practice

基　　金：湖北省卫生健康委2021—2022年度科研项目(No.WJ2021M088);2020年度咸宁市中心医院同济咸宁医院院级科研项目(No.2020XYB014)。

摘　　要：目的探讨前置透明帽在单人结肠镜检查中的应用价值。方法选择2021年1月至2021年12月在咸宁市中心医院消化内镜室行无痛结肠镜检查的392例患者,剔除51例,最终纳入341例患者。按随机数字表法将纳入的患者分为透明帽组(167例,试验组)和常规肠镜组(174例,对照组)。由同1位内镜医师完成全结肠镜检查,记录年龄、性别、进镜时间、退镜时间、就诊原因、波士顿肠道准备量表(BBPS)评分,并将检出的息肉全部切除,记录息肉数量、大小、部位及病理结果。结果试验组的进镜时间短于对照组,差异具有统计学意义(P<0.05)。两组共检出息肉患者169例,其中试验组94例,对照组75例,两组息肉患者检出率分别为56.29%(94/167)、43.10%(75/174)。试验组患者的息肉检出率高于对照组,差异具有统计学意义(P=0.015)。两组共检出腺瘤患者135例,其中试验组78例,对照组57例,两组腺瘤患者检出率分别为46.71%(78/167)、32.76%(57/174)。试验组的腺瘤检出率高于对照组,差异具有统计学意义(P=0.008)。试验组的升结肠、横结肠部位腺瘤检出数量占比高于对照组,差异具有统计学意义(P<0.05)。结论单人结肠镜检查时,前置透明帽能缩短进镜时间,并能有效提高息肉和腺瘤的检出率,值得临床推广。Objective To explore the application value of front transparent cap in single colonoscopy.Methods A total of 392 patients who underwent painless colonoscopy in the digestive endoscopy room of Xianning Central Hospital from January 2021 to December 2021 were selected,51 cases were excluded,and 341 patients were finally included.The patients were divided into transparent cap group(167 cases,experimental group)and conventional colonoscopy group(174 cases,control group)according to the random number table method.Complete colonoscopy was performed by the same endoscopist.Age,gender,time of entry,time of withdrawal,reason for encounter and Boston Bowel Preparation Scale(BBPS)score were recorded.All polyps were resected,and the number,size,location and pathological results of polyps were recorded.Results The time of entry of the experimental group was shorter than that of the control group,and the difference was statistically significant(P<0.05).A total of 169 patients with polyps were detected in the two groups,including 94 cases in the experimental group and 75 cases in the control group,the detection rates of polyps in the two groups were 56.29%(94/167)and 43.10%(75/174),respectively.The detection rate of polyps in the experimental group was higher than that in the control group,and the difference was statistically significant(P=0.015).A total of 135 adenoma patients were detected in the two groups,including 78 cases in the experimental group and 57 cases in the control group,the detection rates of adenoma patients in the two groups were 46.71%(78/167)and 32.76%(57/174),respectively.The detection rate of adenoma in the experimental group was higher than that in the control group,and the difference was statistically significant(P=0.008).The proportion of adenomas detected in the ascending colon and transverse colon of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Front transparent cap in single colonoscopy can shorten the time o

关 键 词：结肠镜检查 透明帽 息肉检出率 腺瘤检出率 

分 类 号：R730.2[医药卫生—肿瘤]