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柔性纤维乙状结肠镜检查的评估

An evaluation of flexible fibreoptic sigmoidoscopy.

作者信息

Vellacott K D, Hardcastle J D

出版信息

Br Med J (Clin Res Ed). 1981 Dec 12;283(6306):1583-6. doi: 10.1136/bmj.283.6306.1583.

Abstract

Results of 350 flexible fibreoptic sigmoidoscopy examinations showed a diagnostic yield of 30% compared with 6.5% by rigid sigmoidoscopy of the same patients. The mean time for the examinations was eight minutes, a distance of over 50 cm being visualised in 65% of the patients. Preparation of the bowel with a single phosphate enema was adequate in 95% of the patients. As an outpatient investigation for clinicians fibreoptic sigmoidoscopy is a safe, quick, and useful addition to rigid sigmoidoscopy and should result in a decrease in the number of barium enema examinations required.

摘要

350例柔性纤维乙状结肠镜检查结果显示,其诊断率为30%,而对同一批患者进行的硬性乙状结肠镜检查诊断率为6.5%。检查的平均时间为8分钟,65%的患者可观察到超过50厘米的肠段。95%的患者使用单剂量磷酸盐灌肠剂进行肠道准备就足够了。作为临床医生的门诊检查手段,纤维乙状结肠镜检查是对硬性乙状结肠镜检查的一种安全、快速且有用的补充,应能减少所需的钡剂灌肠检查数量。

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