透明帽辅助法降低结直肠息肉漏诊率对照研究.docVIP

透明帽辅助法降低结直肠息肉漏诊率对照研究 　　【摘要】 目的 评估透明帽辅助法对降低结直肠息肉漏诊率的可行性及安全性。方法 100例接受同次两遍“串联式”肠镜检查的健康体检者， 随机分为试验组和对照组， 各50例。试验组第一遍采用透明帽辅助结肠镜检查+第二遍常规结肠镜检查；对照组两遍均采用常规结肠镜检查。比较两组操作时间、息肉检出率、息肉漏诊率及不良事件发生率。结果 试验组第一遍肠镜检查的进镜时间为（263.22±92.06）s， 短于对照组的（304.84±109.87）s， 差异有统计学意义（P0.05）。试验组息肉患者漏诊率为12.00%（6/50）， 低于对照组的34.00%（17/50）， 差异有统计学意义（P0.05）。试验组患者息肉漏诊率为12.16%（9/74）， 低于对照组的29.17%（21/72）， 差异有统计学意义（P0.05）。结论 透明帽辅助技术是一种降低肠镜检查息肉漏诊、缩短进镜时间且安全、廉价的方法， 值得临床推广使用。 　　【关键词】 结直肠息肉；结肠镜；透明帽辅助法；漏诊率 　　DOI：10.14163/j.cnki.11-5547/r.2017.02.006 　　Control study on foresight of transparent cap auxiliary method in decreasing missed diagnosis rate in colorectal polyps WU Jin-feng， CHEN Ke-yun， LIU Jin-tao， et al. Shenzhen City Louhu District People’s Hospital， Shenzhen 518001， China 　　【Abstract】 Objective To evaluate feasibility and security of transparent cap auxiliary method in decreasing missed diagnosis rate in colorectal polyps. Methods A total of 100 health examination people receiving tandem colonoscopy examination two times were randomly divided into experimental group and control gorup， with 50 cases in each group. The experimental group received transparent cap auxiliary examination for the first time + conventional colonoscopy examination for the second time， and the control group received conventional colonoscopy examination for two times. Comparison were made on operating time， polyp detection rate， missed diagnosis rate of polyp and incidence of adverse events in two groups. Results The experimental group had colonoscopy entering time as （263.22±92.06）s， which wa shorter than （304.84±109.87）s in the control group， and the difference had statistical significance （P0.05）. The experimental group had lower missed diagnosis rate as 12.00% （6/50） than 34.00% （17/50） in the control group， and the difference had statistical significance （P0.05）. The experimental group had lower missed diagnosis rate of polyps as 12.16% （9/74） than 29.17% （21/72） in the control group， and the difference had statistical