摘要
目的评价双气囊内镜对小肠疾病的诊断价值。方法2007年7月至2009年11月，对141例拟诊或需排除小肠疾病的患者在静脉麻醉下进行小肠镜检查，59例单纯经口进镜，46例单纯经肛门进镜，36例经口和肛门两次进镜。结果141例患者中发现小肠疾病105例，检出率为74．5％。其中良恶性肿瘤32例，克罗恩病14例，小肠非特异性炎症17例，小肠息肉15例，小肠憩室16例，小肠血管病变9例，肠结核3例，小肠钩虫病1例。检查过程中有1例并发胰腺炎，余未发生明显并发症。结论双气囊内镜能安全快速地检查全小肠，并能准确地诊断各种小肠疾病。
Objective To assess the diagnostic value of double balloon enteroscopy （DBE） for sus- pected intestinal diseases. Methods The data of 141 patients with suspected intestinal diseases, who un- derwent DBE with intravenous sedation from July 2007 to November 2009, were retrospectively analyzed. Oral and anal routes DBE were performed in 59 and 46 patients, respectively, while 36 patients underwent a com- bination of both approaches. Results The overall diagnostic yield of DBE was 74. 5% （ 105/141 ）, with benign and malignant tumors in 32, Crohn＇s disease in 14, non-specific enteric inflammation in 17, polyp in 15, divertieulosis in 16, vascular lesions in 9, intestinal tuberculosis in 3 and intestinal aneylostomiasis in 1. Acute panereatitis was complicated in 1 patient. Conclusion DBE is a safe and effective method in diagnosis of suspected intestinal diseases.
出处
《中华消化内镜杂志》
北大核心
2010年第4期189-192,共4页
Chinese Journal of Digestive Endoscopy
关键词
诊断
双气囊内镜
小肠疾病
Diagnosis
Double Balloon enteroscopy
Small intestinal disease
