摘要
目的评价双气囊内镜对小肠疾病的诊断价值。方法45例经B超、CT、胃镜、肠镜等常规检查不能明确病因的患者接受双气囊内镜检查,这些患者中腹痛10例,腹泻8例,不明原因消化道出血19例,腹痛伴黑便3例,腹痛伴腹泻5例。评价双气囊内镜检查的病变检出率、并发症及患者的耐受性等。结果45例患者经口进镜3例,经肛进镜5例,经口+经肛检查37例。45例患者中34例发现阳性病灶,总体病因确诊率75.6%;不明原因消化道出血病因确诊率73.4%,腹痛、腹泻的病因确诊率分别为70%和62.5%,3例腹痛伴有黑便者及5例腹痛伴有腹泻者均获得病因学诊断,未见操作相关的严重不良反应和并发症。结论双气囊内镜是一种对小肠疾病诊断价值较高、安全可靠的检查手段。
Objective To evaluate the diagnostic value of double-balloon enteroscopy for small bowel diseases. Methods Among 45 cases with negative findings of other routine diagnostic modalities such as supersound, CT, gastric endoscopy, and colonic enteroscopy, 10 cases with abdominal pain, 8 cases with diarrhea, 19 cases with obscure GI bleeding, 3 cases with both abdominal pain and melena, and 5 cases with both abdominal pain and diarrhea. Double-balloon enteroscopy was performed and the findings were analysed.Resuits Three patients were examined via mouth route, 5 via anus route, 37 patienta with both mouth route and anus route. Lesions were detected in 37 of 45 patients, positive rate was 82.2%. In 19 cases with obscure GI bleeding, 15 cases （78.9%） obtained final diagnosis. The diagnostic rate was 80%, 75%, 100% and 100% in 10 cases with abdominal pain, 8 cases with diarrhea, 3 cases both with abdominal pain and melena, and 5 cases with both abdominal pain and diarrhea, respectively. No severe side effects and complications were observed. Conclusions Double-balloon enteroscopy was safe, reliable, and its positive rate was elevated.It provided an effective method for diagnosis of small bowel diseases.
出处
《现代消化及介入诊疗》
2009年第3期156-158,共3页
Modern Interventional Diagnosis and Treatment in Gastroenterology
关键词
双气囊内镜
小肠疾病
诊断
Double-balloon enteroscopy
Small bowel disease
Diagnosis
