结肠镜学习时间与结肠息肉检出率关系的临床研究

doi:10.3877/cma.j.issn.2095-7157.2019.02.003

中华胃肠内镜电子杂志 ›› 2019, Vol. 06 ›› Issue (02) : 62 -65. doi: 10.3877/cma.j.issn.2095-7157.2019.02.003

所属专题：文献；

论著

结肠镜学习时间与结肠息肉检出率关系的临床研究

苏军凯¹^,^†(

), 万淑琴¹, 谢雄炳¹, 杨伟超¹, 林炳慧¹, 周剑金¹

^1. 363000　漳州，福建漳州正兴医院消化内镜中心

收稿日期:2019-03-29 出版日期:2019-05-15
通信作者: 苏军凯
基金资助:
漳州市自然科学基金项目(ZZ2018J44)

Clinical Study on the Relationship Between Colonoscopy Learning Time and Polyp Detection Rate

Junkai Su¹^,^†(), Shuqin Wan¹, Xiongbing Xie¹, Weichao Yang¹, Binghui Lin¹, Jianjun Zhou¹

^1. Endosocopy Center, Zhangzhou Zhengxing Hospital, Fujian 363000, China

Received:2019-03-29 Published:2019-05-15
Corresponding author: Junkai Su
About author:
Correspondence author: Su Junkai, Email: sjk120@126.com

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目的

探讨结肠镜息肉检出率是否随着结肠镜的学习时间的增加而不断提高。

方法

回顾性分析2016年7月至2018年12月经福建漳州正兴医院4名有经验的肠镜医师A、B、C、D及2名肠镜初学者E、F每半年的结肠镜息肉检出率变化趋势，并进行分析和比较。

结果

A、B、C、D、E、F医生总的息肉检出率分别为43.8%(1 107/2 529)、31.8%(420/1 322)、35.3%(619/1 753)、25.2%(194/771)、42.8% (166/388)和29.3%(129/440)。6名肠镜医师之间、4名有经验肠镜医师之间及2名肠镜初学者之间的息肉检出率差异均具有统计学显著性差异。肠镜初学者E医生一年半时间，每半年息肉检出率分别为48.39%(15/31)、42.86%(42/98)和42.08%(109/259)，而F医生仅为21.84%(19/87)、32.73%(36/110)和30.45%(74/243)，检出率无明显统计学差异。

结论

结肠镜息肉检出率并不随着结肠镜的学习时间的增加而提高。

关键词: 结肠镜检查, 学习时间, 息肉检出率

Objective

To explore whether the detection rate of colonoscopic polyps increases with the increase of learning time of colonoscopy.

Methods

The detection rates of colorectal polyps in four experienced endoscopists A, B, C, D and two colonoscopy trainees E and F, from July 2016 to December 2018, were analyzed and compared retrospectively.

Results

The detection rates of polyps in doctors A, B, C, D, E and F were 43.8%(1107/2529), 31.8%(420/1322), 35.3% (619/1753), 25.2%(194/771), 42.8%(166/388) and 29.3%(129/440), respectively.There were significant differences in the detection rates of polyps among 6 endoscopists, 4 experienced endoscopists and 2 colonoscopy trainees (all the P values were 0.000). The detection rates of polyps in colonoscopy trainees E were 48.39%(15/31), 42.86%(42/98) and 42.08%(109/259) every half year, and the data of colonoscopy trainees E were 21.84%(19/87), 32.73%(36/110) and 30.45%(74/243) respectively, which were no differences in the detection rates of polyps .

Conclusion

The detection rate of colonoscopic polyps does not increase with the learning time of colonoscopy.

Key words: Colonoscopy, Learning Time, Polyp Detection Rate

图1 不同医生肠镜息肉检出率的差异

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