中国内镜杂志2024，Vol.30Issue(8)：1-11,11.DOI:10.12235/E20230542
水交换进镜方式对结肠镜检查质量影响的Meta分析
Meta-analysis of the effect of water exchange on quality of colonoscopy
摘要
Abstract
Objective To evaluate the effect of water exchange method versus conventional methods including air insufflation and carbon dioxide insufflation method for the quality of colonoscopy.Methods We searched related randomized controlled trials published up to October 2022 from PubMed,Web of Science,the Cochrane Library,SinoMed databases,CNKI,Wanfang data.Two reviewers independently searched the literatures based on standards to extract the data and evaluate the quality.Meta-analysis was conducted by RevMan 5.4.1.Results 23 studies involving 10654 patients were included.Although cecal intubation time was prolonged in water exchange(MD=1.81,95％CI:1.28～2.35,P=0.000),but water exchange had higher adenoma detection rate(ADR)(O(R)=1.40,95％CI:1.26～1.55,P=0.000),cecal intubation rate(O(R)=1.62,95％CI:1.24～2.10,P=0.000)and scores of bowel preparation quality(MD=0.61,95％CI:0.42～0.79,P=0.000)compared with conventional colonoscopy.In addition,WE had significantly lower pain sores(MD=-1.07,95％CI:-1.39～-0.76,P=0.000),number of abdominal compression(O(R)=0.42,95％CI:0.29～0.60,P=0.000)and number of position change(O(R)=0.59,95％CI:0.42～0.82,P=0.002)than conventional colonoscopy.Conclusion Although water exchange colonoscopy prolongs cecal intubation time,but it can significantly increase ADR,cecal intubation rate and scores of bowel preparation quality.Beyond that,water exchange reduces patient pain,the proportion of abdominal compression and position change.Water exchange is a better choice for high-quality colonoscopy.关键词
水交换结肠镜/结肠镜检查质量/进镜方式/Meta分析Key words
water exchange colonoscopy/quality of colonoscopy/cecal intubation method/Meta-analysis分类
医药卫生引用本文复制引用
韦冰妮,陈栩槿,许冰心,周梁云,杨成,占强..水交换进镜方式对结肠镜检查质量影响的Meta分析[J].中国内镜杂志,2024,30(8):1-11,11.基金项目
无锡市卫健委中青年拔尖人才资助计划(No:BJ2020011) （No:BJ2020011）
南京医科大学无锡医学中心专病队列项目(No:WMCC202314) （No:WMCC202314）
