CAJ | 학술논문

目的：比较单双人操作结肠镜在临床的应用。方法2013年5月～2014年5月来我院消化内镜中心进行结肠镜检查1112例患者，分别应用单人和双人操作法进行结肠镜检查，对两种方法的操作成功率、进镜时间、镜身长度、疼痛评分、息肉漏诊率等指标进行比较分析。结果单双人操作结肠镜成功率分别为98.42%和93.23%；平均进镜时间分别为5.51±3.22 min 和11.54±3.83 min（P＜0.05）；镜身长度分别为71±17 cm 和89±22 cm（P ＜0.05）；采用数字评价量表（NRS）评定患者疼痛程度的平均分数分别为2.69±1.60分和6.82±2.14分（P ＜0.05）；息肉漏诊率分别为11.82%和20.13%（P ＜0.05）。全部检查患者均无严重并发症发生。结论单人操作法检查患者的成功率高，进镜时间短、镜身短、患者疼痛程度轻，息肉漏诊率低，内镜损耗少。
목적：비교단쌍인조작결장경재림상적응용。방법2013년5월～2014년5월래아원소화내경중심진행결장경검사1112례환자，분별응용단인화쌍인조작법진행결장경검사，대량충방법적조작성공솔、진경시간、경신장도、동통평분、식육루진솔등지표진행비교분석。결과단쌍인조작결장경성공솔분별위98.42%화93.23%；평균진경시간분별위5.51±3.22 min 화11.54±3.83 min（P＜0.05）；경신장도분별위71±17 cm 화89±22 cm（P ＜0.05）；채용수자평개량표（NRS）평정환자동통정도적평균분수분별위2.69±1.60분화6.82±2.14분（P ＜0.05）；식육루진솔분별위11.82%화20.13%（P ＜0.05）。전부검사환자균무엄중병발증발생。결론단인조작법검사환자적성공솔고，진경시간단、경신단、환자동통정도경，식육루진솔저，내경손모소。
Objective To compare the clinical application of one-man and two-men colonoscopy. Methods 1 112 patients were separately examined with the technique of one-man and two-men colonoscopy from May 2013 to May 2014. The indicators of the rate of reaching ileocecum, inserting time, colonoscopy length, pain score and polyp rate of missed diagnosis were compared. Results The rates of reaching ileocecum of the routine technique of one-man and two-men colonoscopy were 98.42% and 93.23% respectively. The average inserting times of the two methods were 5.51±3.22 min and 11.54±3.83 min respectively (P <0.05). Colonoscopy lengths of the two methods were 71±17cm and 89±22cm respectively (P <0.05). The pain scores by the NRS questionnaire of the two methods were 2.69±1.60 and 6.82±2.14 respectively (P <0.05). Polyp rates of missed diagnosis were 11.82% and 20.13% respectively (P <0.05). No serious complications were observed in all examinations. Conclusion The technique of one -man colonoscopy has a high success rate. Compared with two-men colonoscopy, one-man colonoscopy has a shorter inserting time, and colonoscopy length, which reduces the patients pain, polyp rate of missed diagnosis and endoscopic loss.