传统结肠镜检查法的应用现状

自20世纪六十年代末结肠镜检査术问世以来,无论是其操作手法还是器械改革均得到飞速发展,并广泛应用于临床,使直视病灶、实现活检及治疗成为可能。虽然,结肠镜检查为结直肠疾病的诊断及治疗带来了巨大的帮助并成为结直肠癌诊断的金标准,但其局限性也日渐明显。作为一种侵入性操作,结肠镜检查无法避免的腹部疼痛、难以预知的并发症、无法保证的成功率以及可能存在的漏诊率限制了其临床应用不仅在一定程度上降低了患者的依从性,增加了操作的困难度,且使一部分具有操作指征的患者错失早期诊断及治疗的最佳时机。本文简要阐述了传统注气式结肠镜检查法的一般特点并总结了其应用现状,以期为今后传统注气式结肠镜检查法的合理化应用提供一定的参考依据。

Current Status of the Application of Conventional Colonoscopy

Colonoscopy had been considerably developed in maneuvers and instruments since the late nineteen sixties. It made the visualization, biopsy and treatment of intestine possible without laparotomy. Though its application had brought dramatic benefits for the diagnoses and treatments of colorectal diseases and became the gold standard for primary investigation of colorectal cancer, its limitations including unavoidable pain, unpredictable complications, impossibility of guaranteed intubation of the cecum and errors in colonoscopic detection of neoplasia appeared to be more and more obvious and made itself restricted, which negatively affected the patients'' compliance with the examine and increased the difficulty during the procedure. What was worse, some of them may miss the treatment which should have been available before. The clinical applications of conventional colonoscopy was reviewed so as to provide guidelines for the reasonable application of conventional colonoscopy hereafter.