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| Clinical Research of Colonoscopy Combined with Transparent Cap |
| JIANG Yong, ZHOU Lei, ZHANG Qunchao, et al |
| The Third people's hospital of Bengbu, Anhui Bengbu 233000, China |
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Abstract Objective: To investigate the value of colonoscopy combined with transparent cap. Methods: Totally 248 patients were selected from all the patients that took examinations in center of GI endoscopy between January and November in 2016. The chosen patients were divided randomly into the observation group(124 cases) and the control group(124 cases). The patients in the observation group were administrated transparent cap colonoscopy and those in the control group were administrated conventional colonoscopy. All patients were operated in non anesthetic state by one digestive endoscopic doctor. The two methods were compared by success rate, cecal intubation time, Numeric Rating Scale(NRS) and polyp detection rate. The influence factors of cecal intubation time were analyzed by gender, age, history of abdominal operation and chronic constipation. Results: The success rate of colonoscope of observation group and control group were 96.77% and 89.52%; cecal intubation time were (436.19±184.10)seconds and (569.57±217.15)seconds; the polyp detection rate were 42.74% and 28.23%, and the NRS were (4.06±1.84) and (5.89±2.12), respectively. There was significant difference between the two groups(P<0.05). No complication was observed in all patients. In all the influence factors of cecal intubation time, there were significant differences regarding to gender, age, history of abdominal operation and chronic constipation(P<0.05). Conclusion: The colonoscopy combined with transparent cap is an examination with high success rate, short cecal intubation time, high polyp detection rate and less pain of patients while gender, age, history of abdominal operation and chronic constipation are main factors that might result in longer cecal intubation time.
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[1]陈星. 结肠镜单人操作与技巧[M].上海:上海科学技术出版社,2006.1~10.
[2] Lai EJ , Calderwood AH , Doros G,et al. The Boston bowel preparation scale: a valid and reliable instrument for colonoscopy-oriented research[J].Gastrointest Endosc 2009 ,69 (32): 620~625.
[3] 李蕾蕾. 前置透明帽对单人结肠镜检查进镜时间及息肉发现率的影响[J].航空航天医学杂志,2015,26(11):1330~1331.
[4] Tada M , Inoue H , Yabata E , et al. Colonic muscosal resection using a transparent cap-fitted endoscope[J].Gastrointest Endosc 1996,44 (1): 63~65.
[5] 季大年,项平,黄任翔,等. 透明帽辅助法对结直肠腺瘤检出率的影响[J].中华消化内镜杂志,2015,32(7):444~447.
[6] 杨祯玲,晏洁影,黄七任. 透明帽辅助结肠镜检查的临床优势[J].浙江临床医学,2016,18(5):914~915.
[7] Kondo S , Yamaji Y , Watabe H , et al. A randomized controlled trial evaluating the usefulness of a transparent hood attached to the tip of the colonoscope[J].Am Gastroenterol, 2007,102 (1): 75~81.
[8] 王彦斌,孙敏娴,李翌萌,等. 前置透明帽对结肠息肉检出的影响[J].现代消化及介入诊疗,2015,20(5):543~544.
[9] 李明阳,王志强,张子其,等. 透明帽辅助结肠镜单人操作在老年患者检查中的临床应用[J].现代生物医学进展,2010,10(23):4504~4506,4519. |
| [1] |
. [J]. 河北医学, 2017, 23(5): 820-822. |
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2017, Vol. 23 
