双气囊內镜在小肠疾病诊断中的应用价值  

Diagnostic value of double balloon enteroscopy for intestinal diseases

作　　者：李易[1] 李良平[1] 韩盛玺[1] 张初民[1] 陈琼[1] 阳运超[1] 周丽华[1] 

机构地区：[1]四川省人民医院消化内科,四川成都610072

出　　处：《中国内镜杂志》2011年第5期522-524,共3页China Journal of Endoscopy

摘　　要：目的评价双气囊內镜对小肠疾病的诊断价值。方法 2008年12月～2010年6月对37例拟诊或需排除小肠疾病的患者进行小肠镜检查,18例单纯经口进镜,13例单纯经肛门进镜,6例经口和肛门二次进镜。结果 37例患者中发现小肠疾病28例,检出率75.7%。其中小肠血管病变16例,小肠息肉3例,小肠肿瘤2例,小肠寄生虫2例,小肠憩室2例,小肠克罗恩病2例,小肠结核1例。结论双气囊內镜能安全快速地检查小肠,具有直视、可控性好、能活检及进行镜下治疗等优点,为小肠疾病患者提供了全新的检查手段。[Objective] To assess the diagnostic value of double balloon enteroscopy（DBE）for suspected intestinal disease. [Methods] From December 2008 to June 2010, 37 patients with suspected intestinal disease underwent DBE. Oral and anal routes DBE were performed in 18 and 13 patients, respectively, while 6 patients underwent a combination of both approaches. [Results] The overall diagnostic yield of DBE was 75.7% （28/37）, with vascular lesions in 16, polyp in 3, tumor in 2, parasitic infections in 2, diverticulosis in 2, Crohn,s disease in 2, intestinal tuberculosis in 1. [Conclusions] DBE has the advantage of allowing direct visualization, taking biopsy specimens easily and treating lesions directly, and it is a new diagnostic method for small intestinal disease.

关 键 词：双气囊内镜 小肠疾病 诊断 

分 类 号：R574[医药卫生—消化系统]