【摘要】：目的觀察并探討腸鏡前端安裝透明帽聯(lián)合二氧化碳CO2氣體注入對結(jié)腸鏡檢查進(jìn)鏡速度及鏡下息肉檢出率的影響。方法將2014年1月-2016年6月擬行結(jié)腸鏡檢查的216例患者據(jù)隨機數(shù)字表分為A、B、C 3組,每組72例,A組患者腸鏡前端安裝透明帽而后行結(jié)腸鏡檢查,B組檢查前腸鏡不安裝透明帽,進(jìn)鏡前腸管內(nèi)注入CO2氣體,C組聯(lián)合采用上述兩種方法而后再行腸鏡檢查,比較3組患者檢查過程中進(jìn)鏡速度及息肉檢出率差異。結(jié)果 A、B、C 3組受檢者腸鏡達(dá)到回盲部比例差異無統(tǒng)計學(xué)意義(95.8%vs 90.3%vs 98.6%)(χ2=5.34,P=0.069);到達(dá)回盲部平均時間C組A組B組[(7.14±1.12)vs(8.75±1.33)vs(9.03±1.57)min,F=3.75,P=0.025]。3組總體息肉檢出率C組A組B組(38.9%vs 34.7%vs 23.6%)(χ2=4.10,P=0.129),A、B、C 3組微小結(jié)腸息肉檢出率(30.6%vs 18.1%vs 36.1%)及右半結(jié)腸息肉檢出率(20.8%vs 8.3%vs 23.6%)差異均有統(tǒng)計學(xué)意義(χ2=6.08,P=0.048;χ2=6.58,P=0.037)�；颊叱风R后10 min[(4.35±0.62)vs(4.88±0.85)vs(5.57±1.05)]和30 min[(3.04±0.37)vs(3.30±0.56)vs(4.41±0.84)]VAS評分C組B組A組(F=4.85,P=0.009;F=3.26,P=0.040)。結(jié)論結(jié)腸鏡檢查時鏡端安置透明帽聯(lián)合CO2注入可顯著提高結(jié)腸鏡進(jìn)鏡速度與結(jié)腸息肉檢出率,對微小結(jié)腸息肉及右半結(jié)腸息肉的檢出更具優(yōu)勢。
[Abstract]:Objective to observe and investigate the effect of transparent cap installed at the front end of colonoscopy combined with carbon dioxide CO2 gas injection on the speed of colonoscopy and the detection rate of polyps under colonoscopy. Methods 216 patients undergoing colonoscopy from January 2014 to June 2016 were randomly divided into three groups: group A (n = 72), group C (n = 72), group A (n = 72). In group B, no transparent cap was installed before enteroscopy, and CO2 gas was injected into the anterior enteroscope. Group C was treated with the above two methods and then enteroscopy was performed to compare the difference in the speed of colonoscopy and the detection rate of polyps among the three groups. Results there was no significant difference in the proportion of ileocecum between group C and group C (95.8%vs 90.3%vs 98.6%) (蠂 2 5.34, P 鈮，

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