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腹部束腹带在结肠镜检查中的应用:一项前瞻性随机对照试验。

THE USE OF ABDOMINAL CORSETS ON COLONOSCOPY: A PROSPECTIVE RANDOMISED CONTROLLED TRIAL.

作者信息

Adali Mert

机构信息

Health Sciences University, Bursa Yuksek Ihtisas Training and Research Hospital, General Surgery Unit - Yildirim, Bursa, Turkey.

出版信息

Arq Bras Cir Dig. 2025 Mar 14;38:e1873. doi: 10.1590/0102-6720202500004e1873. eCollection 2025.

Abstract

BACKGROUND

Colonoscopy is a widely used endoscopic procedure to investigate diseases of the colon and rectum. Colonoscopy procedure has difficulties for the patient and endoscopist.

AIMS

To investigate whether the use of an abdominal corset can make the colonoscopy procedure easier and faster.

METHODS

This is a prospective randomised controlled study. Patients over 18 years of age who underwent elective colonoscopy in our clinic were evaluated. Patients were divided into two groups according to the use of the corset. Variables were compared between the groups.

RESULTS

A total of 204 patients were included in the study. Corsets were used in 97 patients and not used in 107 patients. The need for manual compression was found to be decreased in the corset use group. There was no effect of corset use on cecal intubation time in the general population. It was found that cecal intubation time decreased with corset use in patients with body mass index - BMI<30 and male gender.

CONCLUSIONS

The need for manual compression can be reduced by the use of an abdominal corset during colonoscopy. The use of an abdominal corset may make the colonoscopy procedure faster and easier for the endoscopist and the patient.

摘要

背景

结肠镜检查是一种广泛用于检查结肠和直肠疾病的内镜检查方法。结肠镜检查对患者和内镜医师来说都存在困难。

目的

研究使用腹部束腹带是否能使结肠镜检查过程更轻松、更快。

方法

这是一项前瞻性随机对照研究。对在我们诊所接受择期结肠镜检查的18岁以上患者进行评估。根据是否使用束腹带将患者分为两组。对两组之间的变量进行比较。

结果

共有204例患者纳入研究。97例患者使用了束腹带,107例患者未使用。发现使用束腹带的组对手动按压的需求减少。在总体人群中,使用束腹带对盲肠插管时间没有影响。发现在体重指数(BMI)<30的患者和男性患者中,使用束腹带可使盲肠插管时间缩短。

结论

结肠镜检查期间使用腹部束腹带可减少手动按压的需求。使用腹部束腹带可能会使内镜医师和患者的结肠镜检查过程更快、更轻松。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f56/11908742/b5bbc6a390bf/0102-6720-abcd-38-e1873-gf1.jpg

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