[1]朱季军,刘云云,王 艳,等.色素内镜在近端结肠息肉筛查中的临床应用研究[J].医学信息,2019,32(07):86-88.[doi:10.3969/j.issn.1006-1959.2019.07.025]
　ZHU Ji-jun,LIU Yun-yun,WANG Yan,et al.Clinical Application of Chromoendoscopy in Proximal Colon Polyps Screening[J].Journal of Medical Information,2019,32(07):86-88.[doi:10.3969/j.issn.1006-1959.2019.07.025]
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色素内镜在近端结肠息肉筛查中的临床应用研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年07期
页码:
86-88
栏目:
论著
出版日期:
2019-04-01

文章信息/Info

Title:
Clinical Application of Chromoendoscopy in Proximal Colon Polyps Screening
文章编号:
1006-1959（2019）07-0086-03
作者:
朱季军; 刘云云; 王 艳; 刘 伟; 王玉欣; 蔡奉娟; 王晓燕
（江苏省宿迁市第一人民医院消化内科，江苏 宿迁 223800）
Author(s):
ZHU Ji-jun; LIU Yun-yun; WANG Yan; LIU Wei; WANG Yu-xin; CAI Feng-juan; WANG Xiao-yan
(Department of Gastroenterology,the First People's Hospital,Suqian 223800,Jiangsu,China)
关键词:
色素内镜; 近端结肠; 高危腺瘤; 扁平腺瘤; 间歇期癌
Keywords:
Endoscopic endoscopy; Proximal colon; High risk adenoma; Flat adenoma; Intermittent cancer
分类号:
R574
DOI:
10.3969/j.issn.1006-1959.2019.07.025
文献标志码:
A
摘要:
目的 对比常规肠镜与色素内镜对近端结肠（盲肠至结肠肝曲）息肉检出率的差异。方法 选取我院2015年7月~2017年7月行肠镜检查患者200例，随机分为常规内镜组和色素内镜组（近端结肠染色），每组100例。统计患者的近端结肠病变检出情况（数量、大小、形态及病理），对比两组近端结肠息肉检出率、近端结肠退镜观察时间。结果 两组共检出息肉47个，色素内镜组近端结肠息肉检出率为21.00%，高于常规内镜组的10.00%，差异有统计学意义（P＜0.05）。色素内镜组直径＜5 mm息肉数量高于常规内镜组，差异有统计学意义（P＜0.05）。两组腺瘤、高危腺瘤、扁平腺瘤检出个数以及近端结肠退镜观察时间比较，差异无统计学意义（P＞0.05）。结论 色素内镜可显著提高直径＜5 mm近端结肠息肉的检出率，以及腺瘤、高危腺瘤和扁平腺瘤的检出率。
Abstract:
Objective To compare the difference in the detection rate of polyps between the proximal colon (cecal and colonic hepatic flexion) by conventional colonoscopy and chromoendoscopy. Methods A total of 200 patients who underwent colonoscopy from July 2015 to July 2017 were randomly divided into the conventional endoscopy group and the chromoendoscopy group (near-end colonic staining), 100 cases in each group. The incidence of proximal colonic lesions (quantity, size, morphology and pathology) was statistically analyzed. The detection rate of proximal colon polyps and the time of proximal colonoscopy were compared. Results 47 polyps were detected in the two groups. The detection rate of proximal colon polyps in the endoscopic group was 21.00%, which was higher than that in the conventional endoscopy group 10.00%,the difference was statistically significant (P<0.05). The number of polyps <5 mm in the endoscopic group was higher than that in the conventional endoscopy group,the difference was statistically significant (P<0.05). There were no significant differences in the number of adenomas, high-risk adenomas, and flat adenomas, and the time of proximal colonoscopy,the difference was not statistically significant (P>0.05). Conclusion Endoscopic ultrasonography can significantly improve the detection rate of proximal colon polyps with diameter <5 mm, as well as the detection rate of adenoma, high-risk adenoma and flat adenoma.

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更新日期/Last Update: 2019-04-01