[1]付凯东.结肠镜对大肠腺瘤的检出率观察及影响因素研究[J].医学信息,2024,37(23):98-101.[doi:10.3969/j.issn.1006-1959.2024.23.023]
　FU Kaidong.Observation on the Detection Rate of Colorectal Adenoma by Colonoscopy and Study on its Influencing Factors[J].Journal of Medical Information,2024,37(23):98-101.[doi:10.3969/j.issn.1006-1959.2024.23.023]
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结肠镜对大肠腺瘤的检出率观察及影响因素研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年23期
页码:
98-101
栏目:
论著
出版日期:
2024-12-01

文章信息/Info

Title:
Observation on the Detection Rate of Colorectal Adenoma by Colonoscopy and Study on its Influencing Factors
文章编号:
1006-1959（2024）23-0098-04
作者:
付凯东1; 2
永修县中医医院内科1，内镜室2，江西 永修 330304
Author(s):
FU Kaidong1; 2
Department of Internal Medicine1,Endoscopy Room2,Yongxiu County Hospital of Traditional Chinese Medicine,Yongxiu 330304,Jiangxi,China
关键词:
大肠腺瘤; 结肠镜; 肠道准备情况; 盲肠到达率; 退镜时间
Keywords:
Colorectal adenoma; Colonoscopy; Bowel preparation; Cecal arrival rate; Mirror withdrawal time
分类号:
R735.3+4
DOI:
10.3969/j.issn.1006-1959.2024.23.023
文献标志码:
A
摘要:
目的 探究结肠镜对大肠腺瘤的检出率及其影响因素。方法 以2022年10月-2023年8月于永修县中医医院确诊的67例大肠腺瘤患者为研究对象，开展结肠镜检查，统计其腺瘤检出率，比较检出患者与未检出患者的临床资料，Logistic多因素分析明确结肠镜腺瘤检出率的影响因素。结果 67例患者中，共检出大肠腺瘤51例，检出率为76.12%，其中管状腺瘤24例（35.82%）、绒毛状腺瘤8例（11.94%）、混合性腺瘤19例（28.36%），未检出患者共16例，占23.88%。检出患者与未检出患者BMI、麻醉方案、肠道准备情况、盲肠到达情况、退镜时间、辅助手段比较，差异有统计学意义（P＜0.05）；两者年龄、性别、进镜时间比较，差异无统计学意义（P＞0.05）。Logistic回归分析显示，肠道准备情况（OR：3.142，95%CI：1.346~8.607）、盲肠到达情况（OR：3.371，95%CI：1.942~8.734）、退镜时间（OR：3.285，95%CI：1.342~8.843）、辅助手段（OR：3.309，95%CI：1.287~8.905）是结肠镜腺瘤检出率的独立影响因素。结论 结肠镜对大肠腺瘤具有较好的检出效果，其中，患者肠道准备情况、盲肠到达情况、退镜时间、辅助手段均是结肠镜腺瘤检出率的独立影响因素。
Abstract:
Objective To explore the detection rate of colonoscopy on colorectal adenoma and its influencing factors.Methods A total of 67 patients with colorectal adenoma diagnosed in Yongxiu County Hospital of Traditional Chinese Medicine from October 2022 to August 2023 were enrolled in the study. Colonoscopy was performed to count the detection rate of adenoma, and the clinical data of patients with and without detection were compared. Logistic multivariate analysis was used to identify the influencing factors of the detection rate of colonoscopicadenoma.Results Among the 67 patients, 51patients with colorectal adenoma were detected, with a detection rate of 76.12%, including 24 patients with tubular adenoma (35.82%), 8 patientswith villous adenoma (11.94%), and 19 patients with mixed adenoma (28.36%). A total of 16 patients were not detected, accounting for 23.88%. There was significant difference in BMI, anesthesia scheme, intestinal preparation, cecal arrival, withdrawal time and auxiliary means between patients with and without detection (P<0.05), while there was no significant difference in age, gender and time of insertion between the two groups (P>0.05).Logistic regression analysis showed that bowel preparation (OR: 3.142,95%CI: 1.346-8.607), cecal arrival (OR: 3.371,95%CI: 1.942-8.734), withdrawal time (OR: 3.285,95%CI: 1.342-8.843), and auxiliary means (OR: 3.309,95%CI: 1.287-8.905) were independent factors affecting the detection rate of colonoscopicadenoma.Conclusion Colonoscopy has a good detection effect on colorectal adenoma. Among them, bowel preparation, cecal arrival, withdrawal time and auxiliary means are all independent factors affecting the detection rate of colonoscopic adenoma.

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更新日期/Last Update: 1900-01-01