基于计算机断层结肠成像结果分析的结肠镜检查不完全相关危险因素
Risk Factors Associated With Incomplete Colonoscopy Based on the Analysis of Computed Tomographic Colonography Findings.
作者信息
Lee Eun Sun, Kim Byung Chang, Hur Bo Yun, Kim Min Ju, Park Hyun Jeong, Park Sung Bin, Lee Jong Beum, Sohn Dae Kyung, Han Kyung Su, Hong Chang Won
机构信息
Center for Colorectal Cancer, National Cancer Center, Goyang, Gyeonggi-do, Korea.
出版信息
J Comput Assist Tomogr. 2018 Sep/Oct;42(5):675-679. doi: 10.1097/RCT.0000000000000741.
OBJECTIVE
This study aimed to identify the computed tomographic colonography (CTC) findings of incomplete colonoscopy compared with those of complete colonoscopy.
METHODS
The clinical data and CTC imaging data from January 2004 to December 2012 were retrospectively obtained at 2 different institutions and reviewed by the central review system. A total of 71 patients who underwent both videocolonoscopy and CTC were included in this study. The CTC findings and clinical data were evaluated for the completeness of colonoscopy.
RESULTS
In the CTC analysis, differences in total colon length, abdominal circumference, and sigmoid colon diameter were statistically significant between both groups (P < 0.05). Body mass index (BMI) and height were identified as significant clinical factors influencing the completeness of colonoscopy. In multiple logistic regression tests, only BMI and sigmoid colon diameter were independent factors (P < 0.05).
CONCLUSIONS
High BMI larger diameter of sigmoid colon was associated with incomplete colonoscopy based on CTC.
目的
本研究旨在确定与全结肠镜检查相比，不完全结肠镜检查的计算机断层结肠成像（CTC）结果。
方法
回顾性收集2004年1月至2012年12月在2个不同机构的临床数据和CTC成像数据，并通过中央审查系统进行审查。本研究共纳入71例接受了视频结肠镜检查和CTC的患者。评估CTC结果和临床数据以确定结肠镜检查的完整性。
结果
在CTC分析中，两组之间的结肠总长度、腹围和乙状结肠直径差异具有统计学意义（P<0.05）。体重指数（BMI）和身高被确定为影响结肠镜检查完整性的重要临床因素。在多元逻辑回归测试中，只有BMI和乙状结肠直径是独立因素（P<0.05）。
结论
基于CTC，高BMI和较大的乙状结肠直径与不完全结肠镜检查有关。
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