中国内镜杂志2026，Vol.32Issue(5)：73-82,10.DOI:10.12235/E20250573
内镜新技术及肠道准备质量降低结直肠息肉漏诊率的研究进展
Study progress on the reduction of colorectal polyp miss rates through new endoscopic techniques and the quality of bowel preparation
摘要
Abstract
Colorectal carcinoma(CRC)is a prevalent form of malignant neoplasm within the digestive tract on a global scale.Many regions have observed a persistent upward trend in both the incidence and mortality rates of this condition.Colonoscopy examination and treatment are key measures in preventing the occurrence and development of CRC.However in clinical practice,there are situations where some polyps are missed.It is widely recognized that the removal of precancerous lesions,such as polyps detected during a colonoscopy,is a key measure for the prevention of CRC and the reduction of its mortality rate.There are many factors which affect the polyp miss rate(PMR),such as the patient's own constitution and operating equipment and operator,and bowel preparation and polyp condition.Consequently,there has been a proliferation of methodologies designed to address colorectal PMR:new endoscopic technologies mainly include artificial intelligence(AI),distal assist devices,image-enhanced endoscopy and newer lenses,etc.Among these,AI and distal assist devices are becoming more widely used and has shown significant benefits in reducing PMR.In addition,a good quality bowel preparation is one of the foundations for reducing miss rates.With the quest for quality and taste in medicines,the variety of bowel cleansers is increasing.Bowel preparation is not only related to bowel cleansers,but is also influenced by the patient's age,chronic medical history and many other factors.This article provides a review of new endoscopic techniques and the quality of bowel preparation.关键词
结肠镜检查/结直肠息肉/漏诊率/人工智能(AI)/计算机辅助检测/肠道准备Key words
colonoscopy/colorectal polyps/miss diagnosis rate/artificial intelligence(AI)/computer-aided detection/bowel preparation分类
医药卫生引用本文复制引用
张津,熊英..内镜新技术及肠道准备质量降低结直肠息肉漏诊率的研究进展[J].中国内镜杂志,2026,32(5):73-82,10.基金项目
2024年度河北省医学科学研究课题计划(20240539) （20240539）
