单气囊小肠镜在小肠疾病诊断中的临床应用  

Clinical Application of Single-balloon Enteroscopy in Diagnosis of Small Intestinal Diseases

作　　者：瞿春莹[1] 徐雷鸣[1] 周敏[1] 张毅[1] 陈莺[1] 陈惠芳[1] 

机构地区：[1]上海交通大学医学院附属新华医院消化内镜诊治部

出　　处：《胃肠病学》2010年第4期237-239,共3页Chinese Journal of Gastroenterology

摘　　要：背景：小肠镜的应用使观察完整的小肠成为可能,但目前关于单气囊小肠镜诊断小肠疾病的研究尚较少.目的：评价单气囊小肠镜对小肠疾病的诊断价值、安全性和患者耐受性.方法：对2009年2～9月上海新华医院收治的28例疑似小肠疾病患者行单气囊小肠镜检查,分析疾病检出率、操作相关并发症以及患者的耐受性.结果：本组经口进镜者9例,经肛门进镜17例,分别从两端进镜2例.检查操作时间40～100 min,平均（65.0±25.7）min.插管成功率96.4%.20例患者发现阳性病灶,检出率71.4%.所有患者均未发生操作相关并发症,耐受性良好.结论：单气囊小肠镜是一种对小肠疾病诊断价值较高、安全可靠的检查手段.Background： Small intestine can be observed completely under enteroscopy, but studies on the diagnosis of small intestinal diseases via single-balloon enteroscopy are few. Aims： To appraise the diagnostic value, safety and patients＇ tolerance of single-balloon enteroscopy in the detection of small intestinal diseases. Methods： Single-balloon enteroscopy was performed in 28 patients with suspicious small intestinal diseases from February to September 2009 at Shanghai Xinhua Hospital, and the detection rate, procedure-related complications and patients＇ tolerance were analyzed. Results： Of the 28 patients, per-oral approach was performed in 9 cases, anal route in 17 and both in 2 cases. Duration of examination was 40-100 minutes with the mean duration of （65.0_＋25.7） minutes. Enteroscope insertion success rate was 96.4%. Lesions were detected in 20 cases, with a detection rate of 71.4%. No severe procedure-related complication was observed and the procedure was well tolerated by the patients. Conclusions： Single-balloon enteroscopy is a safe, reliable diagnostic modality with high clinical value in the detection of small intestinal diseases.

关 键 词：单气囊小肠镜 小肠疾病 诊断 

分 类 号：R574[医药卫生—消化系统]