路亮. 大肠镜检查单、双人操作法的对比研究[J]. 蚌埠医学院学报, 2007, 32(6): 695-696.
    引用本文: 路亮. 大肠镜检查单、双人操作法的对比研究[J]. 蚌埠医学院学报, 2007, 32(6): 695-696.
    LU Liang. Comparasion of one-man method and two-men method in colonoscopy[J]. Journal of Bengbu Medical College, 2007, 32(6): 695-696.
    Citation: LU Liang. Comparasion of one-man method and two-men method in colonoscopy[J]. Journal of Bengbu Medical College, 2007, 32(6): 695-696.

    大肠镜检查单、双人操作法的对比研究

    Comparasion of one-man method and two-men method in colonoscopy

    • 摘要: 目的: 比较大肠镜检查单、双人操作的异同点,评价两种操作方法的临床应用价值。方法: 双人法行大肠镜检查992例,单人法行大肠镜检查1 541例,比较两种方法从插至回盲部的成功率和所需的时间、因剧烈腹痛不能耐受检查及肠穿孔的发生率等。结果: 插至回盲部的成功率单人法为96.4%,双人法为90.8%(P<0.005);插至回盲部所需时间,单人法为(18.4±6.9)min,双人法为(26.6±8.3)min(P<0.001);因剧烈腹痛不能耐受检查发生率单人法1.0%,双人法6.7%(P<0.005);肠穿孔发生率单人法0,双人法0.3%(P>0.05)。结论: 单人法操作技术简便,插至回盲部成功率高,所需时间短,且因剧烈腹痛不能耐受检查的发生率低等,值得推广,双人法应逐渐为单人法所取代。

       

      Abstract: Objective: To compare one-man method and two-men method in the operation of colonoscopy,and to assess its clinical value.Methods: Nine hundred ninety two cases examined with two-men method and 1 451 cases with one-man method were analyzed and the results were compared in terms of successful rate,operation duration,the rate of abdominal pain and the occurrence of enterobrosis.Results: The successful rates of one-man method and two-men method were 96.4% and 90.8%(P<0.005),respectively;the operation durations of that were(18.4±6.9) minutes and(26.6±8.3) minutes(P<0.001),respectively;the rates of serious abdominal pain of that were 1.0% and 6.7%(P<0.005),respectively;and the rate of enterobrosis were 0 and 0.3%(P>0.05),respectively.Conclusions: Compared with two-man method,one-man method is easier to operate and has a higher successful rate,shorter duration and a lower rate of serious abdominal pain.Therefore one-man method is worth popularizing and should gradually replace two-man method in colonoscopy.

       

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