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在外科医生办公室使用硬质和柔性纤维乙状结肠镜进行乙状结肠镜检查:1012例有效性的比较前瞻性研究。

Sigmoidoscopic examinations with rigid and flexible fiberoptic sigmoidoscopes in the surgeon's office: a comparative prospective study of effectiveness in 1,012 cases.

作者信息

Marks G, Boggs H W, Castro A F, Gathright J B, Ray J E, Salvati E

出版信息

Dis Colon Rectum. 1979 Apr;22(3):162-8. doi: 10.1007/BF02586809.

DOI:10.1007/BF02586809
PMID:446248
Abstract

The results obtained from 1,012 examinations in an on-going, cooperative study indicate that the overall yield provided by use of the flexible fiberoptic sigmoidoscope is 3.2 times greater than that of examinations with the rigid sigmoidoscope. More than twice (2.4 times) the number of polyps and more than three times the number of cancers were detected with the flexible fiberoptic sigmoidoscope. Experienced endoscopists can perform an examination with the flexible fiberoptic sigmoidoscope expeditiously in the office with minimal patient preparation, a high level of patient and physician acceptance, and relative safety when the usual mandatory colonoscopic precautions and guidelines are obeyed. The extraordinary advantages demonstrated by this study warrant wide clinical application of the flexible fiberoptic sigmoidoscope. We strongly recommend provision be made for appropriate training of physicians in the use of the instrument.

摘要

在一项正在进行的合作研究中,对1012例患者进行检查所获得的结果表明,使用可弯曲纤维乙状结肠镜检查的总体检出率比使用硬式乙状结肠镜检查高出3.2倍。使用可弯曲纤维乙状结肠镜检测出的息肉数量是(硬式乙状结肠镜检查)的两倍多(2.4倍),癌症数量则是三倍多。经验丰富的内镜医师能够在办公室内迅速地使用可弯曲纤维乙状结肠镜进行检查,只需对患者进行最少的准备,患者和医生的接受度很高,并且在遵守常规的强制性结肠镜检查预防措施和指南时相对安全。这项研究显示出的非凡优势值得可弯曲纤维乙状结肠镜在临床上广泛应用。我们强烈建议为医生提供使用该仪器的适当培训。

相似文献

1
Sigmoidoscopic examinations with rigid and flexible fiberoptic sigmoidoscopes in the surgeon's office: a comparative prospective study of effectiveness in 1,012 cases.在外科医生办公室使用硬质和柔性纤维乙状结肠镜进行乙状结肠镜检查:1012例有效性的比较前瞻性研究。
Dis Colon Rectum. 1979 Apr;22(3):162-8. doi: 10.1007/BF02586809.
2
Guidelines for use of the flexible fiberoptic sigmoidoscope in the management of the surgical patient.纤维光学乙状结肠镜在外科患者管理中的使用指南。
Dis Colon Rectum. 1982 Apr;25(3):187-90. doi: 10.1007/BF02553098.
3
Flexible fiberoptic sigmoidoscopy in a surgeon's office.外科医生办公室中的柔性纤维乙状结肠镜检查。
Am J Surg. 1980 May;139(5):708-10. doi: 10.1016/0002-9610(80)90368-2.
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The advantages of the 30-cm flexible sigmoidoscope over the 60-cm flexible sigmoidoscope.30厘米可弯曲乙状结肠镜相对于60厘米可弯曲乙状结肠镜的优势。
Gastrointest Endosc. 1984 Apr;30(2):59-64. doi: 10.1016/s0016-5107(84)72317-0.
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Flexible fiberoptic sigmoidoscopy in family medicine.
Am Fam Physician. 1984 May;29(5):131-8.
6
Fiberoptic pansigmoidoscopy. An evaluation and comparison with rigid sigmoidoscopy.纤维光学全乙状结肠镜检查:与硬式乙状结肠镜检查的评估及比较
Gastroenterology. 1977 Apr;72(4 Pt 1):644-9.
7
Office procedures. Flexible sigmoidoscopy.门诊操作。可屈性乙状结肠镜检查。
Prim Care. 1997 Jun;24(2):341-57. doi: 10.1016/s0095-4543(05)70397-3.
8
A study of optimal length of flexible fiberoptic sigmoidoscopes for initial endoscopic training.用于初始内镜培训的柔性纤维乙状结肠镜最佳长度的研究。
Dis Colon Rectum. 1986 Dec;29(12):878-81. doi: 10.1007/BF02555368.
9
Flexible fiberoptic sigmoidoscopy.可弯曲纤维乙状结肠镜检查
Am Fam Physician. 1982 Nov;26(5):133-41.
10
Symposium on outpatient anorectal procedures. Flexible fiberoptic sigmoidoscopy: an office procedure.门诊肛肠手术研讨会。可弯曲纤维乙状结肠镜检查:一种门诊手术。
Can J Surg. 1985 May;28(3):233-6.

引用本文的文献

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Value of macrobiopsies and transanal endoscopic microsurgery in the histological work-up of rectal neoplasms: A retrospective study.宏观活检和经肛门内镜显微手术在直肠肿瘤组织学检查中的价值:一项回顾性研究。
World J Gastrointest Oncol. 2017 Jun 15;9(6):251-256. doi: 10.4251/wjgo.v9.i6.251.
2
Colonoscopy: perspectives for family physicians.结肠镜检查:家庭医生的视角。
Can Fam Physician. 1983 Sep;29:1649-53.
3
General practitioner referral of patients with lower gastrointestinal symptoms.全科医生对有下消化道症状患者的转诊。
J R Soc Med. 1988 Jun;81(6):371-2.
4
Four-year evaluation of a direct-access fibreoptic sigmoidoscopy service.直接接入式纤维乙状结肠镜检查服务的四年评估
Ann R Coll Surg Engl. 1996 Jan;78(1):23-6.
5
Screening flexible sigmoidoscopy: patient attitudes and compliance.
J Gen Intern Med. 1993 Mar;8(3):120-5. doi: 10.1007/BF02599753.
6
Clinical experience with flexible sigmoidoscopy in asymptomatic and symptomatic patients.无症状和有症状患者的乙状结肠镜检查临床经验。
Yale J Biol Med. 1980 Sep-Oct;53(5):345-52.
7
The follow-up of patients after definitive resections for large bowel cancer.大肠癌根治性切除术后患者的随访
World J Surg. 1982 Sep;6(5):578-84. doi: 10.1007/BF01657872.
8
An evaluation of flexible fibreoptic sigmoidoscopy.柔性纤维乙状结肠镜检查的评估
Br Med J (Clin Res Ed). 1981 Dec 12;283(6306):1583-6. doi: 10.1136/bmj.283.6306.1583.
9
Flexible sigmoidoscopy in outpatients with suspected colonic disease.对疑似结肠疾病的门诊患者进行乙状结肠镜检查。
Br Med J (Clin Res Ed). 1981 Nov 14;283(6302):1291-2. doi: 10.1136/bmj.283.6302.1291.
10
Colorectal cancer screening by nurse practitioner using 60-cm flexible fiberoptic sigmoidoscope.执业护士使用60厘米柔性纤维乙状结肠镜进行结直肠癌筛查。
Dig Dis Sci. 1984 Feb;29(2):161-3. doi: 10.1007/BF01317059.