摘要
目的对比乙状结肠注水肠镜与全结肠注水肠镜及注气式结肠镜在肠镜检查中的应用,探讨乙状结肠注水肠镜的应用体会。方法将肠镜检查患者随机分为乙状结肠注水组、全结肠注水组和空气组(注气式结肠镜检查),主要观察指标为患者腹痛程度和检查时间,次要观察指标为盲肠插管成功率、息肉检出率。结果共入组肠镜检查者591例,其中乙状结肠注水组197例,全结肠注水组197例,空气组197例,组间一般临床资料比较差异均无统计学意义(P均>0.05)。乙状结肠注水组、全结肠注水组的腹痛评分均小于空气组,差异均有统计学意义(P均<0.017),乙状结肠注水组与全结肠注水组腹痛评分比较差异无统计学意义(P>0.017),总检查时间乙状结肠注水组<空气组<全结肠注水组,3组两两比较差异均有统计学意义(P均<0.017)。3组间Boston评分、插管成功率和息肉检出率比较差异均无统计学意义(P均>0.05)。乙状结肠注水组注水量为(80.5±5.9)ml,低于全结肠注水组注水量的(606.3±130.7)ml,差异有统计学意义(P<0.01)。结论乙状结肠注水法可在不影响插管成功率与息肉检出率的同时,既可减少腹痛,又可缩短检查时间,值得临床进一步推广。
Objective To compare the application values of water administration into the sigmoid colon and total colon, and air insufflation colonoscopy, aiming to summarize the clinical experience of water administration into the sigmoid colon during colonoscopy. Methods Patients scheduled to undergo colonoscopy were randomly divided into the water administration of the sigmoid colon, water administration of the total colon and air insufflation colonoscopy groups. The severity of abdominal pain, time of examination, success rate of cecal intubation and detection rate of polyps were observed and statistically compared among different groups. Results In total, 591 patients were enrolled and assigned into three groups （n=197 for each group）. Baseline clinical data did not significantly differ among three groups （all P〉0.05）. The scores of abdominal pain assessment in the water administration of the sigmoid colon and total colon colonoscopy groups were significantly less compared with that in the air insufflation colonoscopy group （both P 〈 0.017）, whereas no statistical significance was noted between the water administration of the sigmoid colon and total colon colonoscopy groups （P〉0.017）. The total time of examination in the water administration of the sigmoid colon group was the shortest, followed by the air insufflation and water administration of the total colon colonoscopy groups with statistical significance between any two groups （all P 〈 0.017）. Boston score, success rate of cecal intubation or detection rate of polyps did not significantly differ among three groups （all P〉0.05）. The quantity of water administration in the water administration into the sigmoid colon group was （80.5±5.9） ml, significantly less than （606.3±130.7） ml in water administration into the total colon group （P 〈 0.01）. Conclusions Water administration into the sigmoid colon during colonoscopy exerts no effect upon success rate of cecal intubation and detection rate of polyps. It can mitigate abd
出处
《新医学》
2017年第4期266-270,共5页
Journal of New Medicine
关键词
乙状结肠注水法
全结肠注水法
注气法
Water aaministration into the sigmoid colon
Water administration into the total colon
Air insufflation
