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本研究的目的是分析结肠镜检查不能完成的原因。方法 :460 0例结肠镜检查均为本科患者。使用日本 Olympaus生产的 CF- IT2 0 I纤维结肠镜和 CF- XQ2 30电子结肠镜检查。到达结肠末段者 42 4 4例。用粗完成率 (所有不完成的包括在内 )和校正完成率 (排除肠道疾病和大便堵塞者 )比较。结果 :粗的完成率为92 .2 6% ,校正完成率为 96.13%。不能完成的原因 :大便堵塞 2 2例 ,结肠疾病 154例 ,疼痛不能耐受 ,肠道过于弯曲 178例 ,其他原因 2例。粗完成率男性低于女性 (91.32 % ,93.12 % )。大于 70岁的老年人完成率也较低(76.8% ) ,小于 2 0岁的青少年和幼儿完成率 95.0 9%。当采用校正完成率后 ,所有的不同年龄组均无差别。两例外科手术后病人结肠镜检查后穿孔。结论 :粗的完成率受很多因素的影响 ,难以在操作者之间比较 ,校正完成率能将与疾病有关的因素降低到最小。我们的结论是没有任何肠道梗阻及损害 ,完成率可达 96.13%。
The purpose of this study was to analyze the reasons why colonoscopy can not be done. Methods: 460 cases of colonoscopy were undergraduate patients. CF-IT2 0 I fiber colonoscopy and CF-XQ2 30 electron colonoscopy with Olympus manufactured in Japan were used. 42 4 4 patients reached the end of the colon. Comparisons were made with the crude completion rate (all incomplete items included) and the correction completion rate (excluding bowel disease and stool blockage). Results: The crude completion rate was 92.26% and the corrected completion rate was 96.13%. Reasons can not be completed: stool congestion in 22 cases, 154 cases of colon disease, pain can not tolerate, bowel over flexion in 178 cases, 2 cases for other reasons. The crude completion rate was lower in men than in women (91.32%, 93.12%). The completion rate of elderly people over 70 years old is also lower (76.8%), and the completion rate of young people and children younger than 20 years old is 95.0 9%. When using the correction completion rate, all of the different age groups were indifferent. Two patients were punctured after colonoscopy. CONCLUSIONS: The crude completion rate is affected by many factors and is difficult to compare among operators. The completion rate can minimize the number of disease-related factors. Our conclusion is that there is no intestinal obstruction and damage, the completion rate of up to 96.13%.