结肠镜双人操作法向单人操作法转换的技巧探讨

Feasibility of two-man performance switching to one-man performance in colonoscopy

摘要: 目的:探讨结肠镜双人操作法向单人操作法转换的可行性,总结结肠镜单人操作法的优点。方法:分析结肠镜单人操作法的成功率、插镜至回盲部的时间、进镜至末端回肠的成功率及并发症的发生,总结单人操作法的体会。结果:结肠镜单人操作成功率96.3%,大多数用时5~10 min,无穿孔、出血等并发症。结论:结肠镜双人操作法可向单人操作法顺利转换,单人操作法具有安全简便、低痛、成功率高、患者反应良好的特点,值得推广。

Abstract: Objective:To investigate the feasibility of two-men colonoscopy performance switching of colonoscopic technique to one-man performance,and to assess its advantages.Methods:All the patients undergoing one-man colonoscopy performance in our hospital were enrolled in this study.The success rate,cercal intubation rate,time required for cercal intubation and incidence of complications were observed.Results:The success rate of one-man colonoscopy performance was 96.3%,and the mean time for examination was between 5 to 10 min.None of the patients experienced lesion residue,asenterobrosis or enterorrhagia.Conclusions:Our study suggests that one-man colonoscopy performance is simple and safe,causing less discomfort or pain for patients.This operation is clinically promising and worth popularizing.