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改良“轴保持短缩法”单人操作结肠镜在结肠术后患者检查中的临床应用
引用本文:李明阳,王志强,令狐恩强,卢忠生,黄启阳.改良“轴保持短缩法”单人操作结肠镜在结肠术后患者检查中的临床应用[J].实用医学杂志,2011,27(2):207-209.
作者姓名:李明阳  王志强  令狐恩强  卢忠生  黄启阳
作者单位:解放军总医院南楼消化内镜诊疗科,北京市,100853
摘    要:目的:探讨改良"轴保持短缩法"单人操作结肠镜在结肠术后患者检查中的临床应用。方法:对2009年4-12月来我院消化内镜中心进行随访的512例结肠术后患者,分别应用改良"轴保持短缩法"单人操作法以及常规单人操作结肠镜进行检查,对两种方法的成功率、进镜时间、疼痛评分等指标进行比较。结果:常规单人操作结肠镜和改良"轴保持短缩法"单人操作结肠镜到达回盲部(或结肠-小肠吻合口)的成功率分别为93.8%和99.1%。常规单人操作结肠镜检查和改良"轴保持短缩法"单人操作结肠镜的平均进镜时间分别为7.6min和3.5min(P<0.05)。常规单人操作结肠镜和改良"轴保持短缩法"单人操作结肠镜检查后,采用数字评定量表(NRS)评定疼痛程度的平均分数分别为6.7分和3.8分(P<0.05)。全部检查无并发症发生。结论:改良"轴保持短缩法"单人操作结肠镜对结肠术后患者的检查安全、成功率高,与常规单人操作结肠镜相比,进镜时间短、患者疼痛程度轻。

关 键 词:结肠镜  单人操作结肠镜  改良“轴保持短缩法”单人操作结肠镜  结肠术后

Application of modified axis constriction technique of one-man colonoscopy in the examination of post-operative patients of colon
LI Ming-yang,WANG Zhi-qiang,LING HU En-qiang,LU Zhong-sheng,HUANG Qi-yang.Application of modified axis constriction technique of one-man colonoscopy in the examination of post-operative patients of colon[J].The Journal of Practical Medicine,2011,27(2):207-209.
Authors:LI Ming-yang  WANG Zhi-qiang  LING HU En-qiang  LU Zhong-sheng  HUANG Qi-yang
Institution:LI Ming-yang,WANG Zhi-qiang,LING HU En-qiang,LU Zhong-sheng,HUANG Qi-yang.Department of GI Endoscopy,PLA General Hospital,Beijing 100853,China
Abstract:Objective To investigate the clinical application of modified axis constriction technique of one-man colonoscopy in the post-operative patients of colon.Methods Five hundred and twelve post-operative patients who were followed up and at least examined one time with the technique of one-man colonoscopy from April to December 2009 were analyzed.The routine technique of one-man colonoscopy and the modified axis constriction technique of one-man colonoscopy were performed to all patients.The indicators of the r...
Keywords:Colonoscope  One-man colonoscopy  Modified axis constriction technique  Post-operative of colon  
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