Miller R E, Lehman G
Radiology. 1978 Nov;129(2):295-7. doi: 10.1148/129.2.295.
Fifty-four endoscopically missed colonic polypoid lesions reveal the limitations of colonic endoscopy. Colonoscopy failed to identify 31 of the lesions, whereas 24 lesions were initially missed by proctosigmoidoscopy. One polypoid tumor of the rectosigmoid junction was missed by both. Most undetected lesions ranged from 0.5 to 1.5 cm. Endoscopic and radiologic diagnostic techniques are clearly complementary. Their combined diagnostic accuracy exceeds that of either technique alone. If results of the two methods conflict, one or both should be repeated. With a combined approach, completely missed lesions can be kept at a minimum.
54例经内镜漏诊的结肠息肉样病变揭示了结肠内镜检查的局限性。结肠镜检查未能识别出31处病变，而直肠乙状结肠镜检查最初漏诊了24处病变。直肠乙状结肠交界处的1例息肉样肿瘤两种检查均漏诊。大多数未被发现的病变大小在0.5至1.5厘米之间。内镜和放射学诊断技术显然是互补的。它们联合诊断的准确性超过了单独使用任何一种技术的准确性。如果两种方法的结果相互矛盾，应重复其中一种或两种方法。采用联合方法，可将完全漏诊的病变降至最低。
