摘要: |
目的:探讨水交换法中加入靛胭脂提高腺瘤检出率的有效性。方法:前瞻性入组病例,随机采用常规水交换法(对照组)或加用0.008%靛胭脂水交换法(试验组)进行结肠镜检查。研究评价的主要指标为腺瘤检出率。结果:共202例患者纳入研究,试验组和对照组各101例。两组性别分布、平均年龄、吸烟史、结肠癌家族史和肠镜检查适应证差异无统计学意义。两组盲肠插管成功率均为100%。对照组腺瘤检出率为31.7%,试验组腺瘤检出率为45.4%,两组差异有统计学意义(P<0.05)。结论:加用0.008%靛胭脂的水交换法肠镜检查可显著提高腺瘤检出率。 |
关键词: 腺瘤检出率 结肠镜 水交换法 色素内镜 |
DOI:10.12025/j.issn.1008-6358.2019.20191289 |
分类号:R735.3+5 |
基金项目: |
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Comparative study on increasing adenoma detection rate by adding indigo rouge in enteroscopy with water exchange method |
HU Xue-jun, XU Wei, YAO Ping, SHEN Ming, ZHONG Xiao-feng, QIU Quan-xing, TANG Yu, HUA Hai-bing
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Department of Gastroenterology, Jiangyin Hospital of Traditional Chinese Medicine, Jiangsu 214400, Jiangsu, China
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Abstract: |
Objective: To evaluate the efficacy of increasing adenoma detection rate (ADR) by adding indigo rouge in enteroscopy with water exchange method. Methods: Patients were enrolled prospectively. Colonoscopy was performed with routine water exchange (control group) or with 0.008% indigo carmine added water exchange method (study group). The primary outcome of this study is ADR. Results: Totally, 202 patients were included (101 cases in each group). There were no significant differences in gender distribution, mean age, smoking history, family history of colon cancer, and colonoscopy indication. Cecal intubation success rate was 100% in both groups. ADR was 31.7% for control group and 45.4% for study group, with significant difference (P<0.05). Conclusions: Adding 0.008% indigo rouge in enteroscopy with water exchange method enhances ADR significantly. |
Key words: adenoma detection rate colonoscopy water exchange method chromoendoscopy |