电子结肠镜单双人操作法临床诊断价值对比分析.docVIP

电子结肠镜单双人操作法临床诊断价值对比分析 　　摘要：目的 对比分析单双人操作电子结肠镜的临床效果。方法 选取我院收治的280例行结肠镜检查的患者进行研究，随机将患者分为两组。观察组（140例）采用单人操作，对照组（140例）采用双人操作，对两组操作情况进行对比。结果 观察组患者进镜成功率与息肉漏诊率分别为97.90%、12.10%，对照组分别为86.40%、22.90%，观察组均明显优于对照组（P0.05）；观察组患者进镜时间及进镜长度、疼痛程度评分分别为（5.6±0.8）min、（71.5±3.9）cm、（2.7±0.4）分；对照组分别为（12.0±2.0）min、（88.7±4.3）cm、（5.9±1.1）分；观察组均明显优于对照组（P0.05）。结论 相对于双人操作法而言，采用?稳说缱咏岢?镜检查具有较高的成功率，且具有进镜时间短、进镜长度短、患者疼痛轻等特点，并可减少息肉漏诊及并发症发生，临床价值显著，可在临床上进行推广应用。 　　关键词：双人操作法；电子结肠镜；单人操作法 　　中图分类号：R574.62 文献标识码：A 文章编号：1006-1959（2017）22-0046-03 　　Abstract：Objective To compare the clinical effect of single and double manipulation of electronic colonoscopy.Methods 280 patients undergoing colonoscopy were enrolled in this study.Patients were randomly divided into two groups.The observation group（140 cases）using single operation，the control group（140 cases）using double operation，the two groups of operations were compared.Results The success rate of the patients in the observation group was 97.90% and 12.10%，respectively，and the control group was 86.40% and 22.90% respectively.The observation group was significantly better than the control group（P0.05）.Patients in the observation group the time into the mirror and mirror length，the degree of pain scores were（5.6±0.8） min，（71.5±3.9）cm，（2.7±0.4）points；the control group respectively（12.0±2.0）min，（88.7±4.3）cm，（5.9±1.1）points；the observation group were significantly better than the control group（P0.05）.Conclusion Compared with the double operation method，the use of single-electron colonoscopy has a high success rate， and has a short time into the mirror，into the mirror length is short，the patients pain and other characteristics，and can reduce polyp misdiagnosis and complications，clinical value is significant，can be used in clinical practice. 　　Key words：Double operation method；Electronic colonoscopy；Single operation method 　　电子结肠镜是临床上诊断多种结肠疾病的有效方式，其在及早发现疾病病变、制定疾病治疗方案方面有着非常重要的作用[1]。现阶段临床上采用的结肠镜插入技术主要有两种，一是双人操作法，二是单人操作法，随着医疗技术的不断发展，电子结肠镜操作正逐渐由双人操作向单人操作转变。本研究为比较两种操作法在