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临床上使用纤维结肠镜检查,对提高结肠疾病的诊断和治疗结肠息肉病都有较大价值。(1)(2)但要推广使用,首先遇到的问题即是在结肠内插入困难。七十年代初国外报告,插入到回盲部者仅15％。(3)随着临床广泛使用,插入方法的改进,近年来有的作者报告插入到回盲部可高达97％。(4)故对纤维结肠镜插入方法的探讨和经验积累是十分重要的,在临床使用过程中,不断改进操作方法总结经验插入成功率是可以逐步提高的。我院自1975年8月—1977年12月共做纤维结肠镜检查310例次,全部使用Olympus CF-LB型。310例次的检查基本上可分二个阶段,自1975年8月—1976年1月做了124例次,
The use of colonoscopy in clinical practice is of great value in the diagnosis of colon diseases and in the treatment of colon polyposis. (1) (2) However, if the use is to be promoted, the first problem encountered is difficulty in inserting into the colon. At the beginning of the 1970s, it was reported abroad that only 15% of people were inserted into the ileola. (3) With the widespread use of clinical and improved insertion methods, some authors reported in recent years that up to 97% of them can be inserted into the ileocecal region. (4) Therefore, it is very important to discuss the method of inserting fiber colonoscopes and experience accumulation. In the course of clinical use, continuous improvement of operation methods summarizes the success rate of experience insertion can be gradually improved. In our hospital from August 1975 to December 1977, a total of 310 cases of colonoscopy were performed, all using Olympus CF-LB type. The examination of 310 cases can basically be divided into two stages. From August 1975 to January 1976, 124 cases were performed.