胶囊内镜联合双气囊小肠镜对可疑小肠疾病的诊断价值  

Diagnostic Value of Capsule Endoscopy Combined with Double-balloon Enteroscopy for Suspected Small Bowel Diseases

作　　者：浦福兴[1] 王敏[1] 王翔[1] 范志宁[1] 

机构地区：[1]南京医科大学第二附属医院消化医学中心南京医科大学消化内镜研究所,南京210011

出　　处：《中国微创外科杂志》2010年第11期1009-1012,共4页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的评估胶囊内镜(capsule endoscopy,CE)联合双气囊小肠镜(double-balloon enteroscopy,DBE)对可疑小肠疾病诊断的临床价值。方法 2006年8月～2010年8月,对70例疑诊为小肠疾病的患者行CE检查,CE结果为可疑病变或阴性的34例进行DBE检查。结果行CE和DBE检查的病变检出率分别为80.0%(56/70)和79.4%(27/34),明确诊断率分别为51.4%(36/70)和76.5%(26/34)。结论 CE能够为DBE提供大致的定位诊断,以便临床医生选择经口或经肛途径,而DBE则能证实CE的发现并对部分病变给予内镜下治疗。二者联合应用能较大程度地提高小肠疾病的病因诊断率及病变的检出率。Objective To evaluate the clinical efficacy of capsule endoscopy（CE） combined with direct double-balloon enteroscopy（DBE） in diagnosing patients with suspected small bowel diseases. Methods From August 2006 to August 2010,totally 70 patients suspected with small bowel diseases underwent CE in our hospital;among them,34 patients whose CE results showed suspected small intestinal lesions or negative were sent for DBE afterwards. Results The detective rates of CE and DBE were 80.0%（56/70） and 79.4%（27/34）;and their accuracy rates were 51.4%（36/70） and 76.5%（26/34） respectively.Conclusions CE may show the position of the lesion before DBE,based on which a transoral or transanal approach can be selected for DBE;while DBE may confirm the diagnosis by CE,and treat the patients immediately.CE combined with DBE can increase the diagnostic rate and accuracy for intestinal diseases.

关 键 词：胶囊内镜 双气囊小肠镜 小肠疾病 

分 类 号：R574[医药卫生—消化系统]